Carolyn M Fortenberry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016832 Issued in PA

Practice address

20 E 2ND Ave Ste 100
Conshohocken, PA 19428-1880

Phone

(610) 635-5677

Fax

(610) 828-4910

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conshohocken Center for Emotional HealthGroup PAC ID 0446539738, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Conshohocken Center for Emotional Health

  • Clinical Social Worker
  • Conshohocken, PA
  • NPI 1003363615
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1215286273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 NEW DEHAVEN ST",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282742",
            "telephone_number": "610-635-5677",
            "fax_number": "610-828-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 2ND AVE STE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281880",
            "telephone_number": "610-635-5677",
            "fax_number": "610-828-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTENBERRY",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melana Findley, CPHT
• Flocco Inc
• Kristen Foley, PSYD, BCBA, LP, LBS
• Devon Forbes, RDN
• Fornance Physician Services, Inc
• Harvey Fracht, M.D.
• Francismarie Homecare LLC
• Harry A Frankel, M.D.
• Adam Frantz, PTA
• Freedom Pathology Partners LLC

• Clinical Social Worker in Conshohocken, PA
• Providers in Conshohocken, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.