Individual provider Active NPI

Ella R. Fortune, LBSW

  • Social Worker
  • Bishopville, SC
National Provider Identifier
1104874551
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3119 Issued in SC
Practice address
2244 Browntown Rd
Swcmhc/Emerald CRCF
Bishopville, SC 29010-9664
Phone
(803) 428-6052
Fax
(803) 428-5406
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3119 SC Primary

Addresses

Primary practice location

2244 Browntown Rd
Swcmhc/Emerald CRCF
Bishopville, SC 29010-9664

Mailing address

215 N. Magnolia St.
Swcmhc,
Sumter, SC 29151-1946
Phone (803) 775-9364

Other names 1

  • Ms. Ella R. Glover Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104874551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N. MAGNOLIA ST.",
            "address_2": "SWCMHC,",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291511946",
            "telephone_number": "803-775-9364",
            "fax_number": "803-773-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 BROWNTOWN RD",
            "address_2": "SWCMHC/EMERALD CRCF",
            "city": "BISHOPVILLE",
            "state": "SC",
            "postal_code": "290109664",
            "telephone_number": "803-428-6052",
            "fax_number": "803-428-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNE",
        "first_name": "ELLA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "3119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLA",
            "last_name": "GLOVER",
            "middle_name": "R.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bishopville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.