Organization Active NPI

Fortified Counseling and Consulting, LLC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1255840138
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC303590 Issued in DC
Legal business name
FORTIFIED COUNSELING AND CONSULTING, LLC
Practice address
1200 G St NW Ste 800
Washington, DC 20005-6705
Phone
(202) 854-9628
NPI assigned
Sep 23, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Orisia Wallace, MSW LICSW
Title
Clinical Administrator
Phone
(202) 854-9628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC303590 DC Primary

Addresses

Primary practice location

1200 G St NW Ste 800
Washington, DC 20005-6705

Mailing address

1200 G St NW Ste 800
Washington, DC 20005-6705
Phone (202) 854-9628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255840138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 G ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200056705",
            "telephone_number": "202-854-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 G ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200056705",
            "telephone_number": "202-854-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIFIED COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ORISIA",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "202-854-9628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.