Joshua Fortner, LMSW
Individual provider Active NPI Clinical Social Worker · Henderson, TN
NPI 1538046552 · NPPES record last updated Aug 20, 2025
Key facts
- NPI
- 1538046552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 16103 (TN)
- Practice address
- 541 W Park PL
Henderson, TN 38340-2027 - Phone
- (731) 989-1007
- Fax
- (731) 989-0704
- NPI assigned
- Aug 20, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16103 | TN | Yes |
Addresses
Primary practice location
541 W Park PL
Henderson, TN 38340-2027
Mailing address
541 W Park PL
Henderson, TN 38340-2027
Phone (731) 989-1007
Other providers in Henderson, TN
- Nancy Ann Edwards
- Faith Counseling, PLLC
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Cody Joseph Fletcher
- Fred'S Pharmacy
- Freed-Hardeman University
- Frix-Jennings Clinic PC
- Carey Wallace Frix
- Gean Group Henderson
All providers in Henderson, TN · Clinical Social Worker in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.