Annette L Fortino LCSW Acsw Cac-II LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

ANNETTE L FORTINO LCSW ACSW CAC-II LLC

Practice address

1535 Industrial Park Dr
Hart, MI 49420-8377

Phone

(517) 231-6550

NPI assigned

Nov 1, 2011

Last updated

Mar 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Beth Houpt

Title

Credentialing

Phone

(517) 676-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette Louise Fortino, LCSW ACSW CAC-II

  • Clinical Social Worker
  • Hart, MI
  • NPI 1194838599
  Medicare reassignment NPD

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1871879080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 INDUSTRIAL PARK DR",
            "city": "HART",
            "state": "MI",
            "postal_code": "494208377",
            "telephone_number": "517-231-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE L FORTINO LCSW ACSW CAC-II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "HOUPT",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "517-676-9797"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Anderson, LMT
• Trisha Armstrong, DPT
• Jennifer Babbin, COTA
• Kaitlyn Elizabeth Bacon, PT, DPT
• Marlene Marie Berens, DNP
• Jessica Bernhardt, RDH

• Social Worker in Hart, MI
• Providers in Hart, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.