Charissa Rose Fortier, LCSW, BCBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC13584 Issued in ME

Practice address

15 Saunders Way
Suite #720
Westbrook, ME 04092-4833

Phone

(207) 878-9663

NPI assigned

Nov 22, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodfords Family Services

  • Clinic/Center
  • Westbrook, ME
  • NPI 1043642762
  NPD (past)
• Woodfords Family Services

  • Early Intervention Provider Agency
  • Westbrook, ME
  • NPI 1356584437
  NPD (past)
• Woodfords Family Services

  • Community/Behavioral Health Agency
  • Westbrook, ME
  • NPI 1740340132
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1083981898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FAIRFIELD RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040153653",
            "telephone_number": "207-318-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SAUNDERS WAY",
            "address_2": "SUITE #720",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924833",
            "telephone_number": "207-878-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIER",
        "first_name": "CHARISSA",
        "middle_name": "ROSE",
        "credential": "LCSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC13584",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "ME",
            "license": "1-16-21527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Fleming, MD
• Ashley R Foley, DPT
• Kiely Lynn Foley, PMHNP-BC, LCSW
• Robert Foley
• Jillian Rachel Fontaine, OTR/L
• Maria Severino Foster
• Elwood J Fox, DO
• Courtney Frost, BCBA
• Daniel Frost, BCBA
• Monica Fuller, BCBA

• All providers in Westbrook, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.