Marcia Fort, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60160445 Issued in WA

Practice address

1300 NE Goldie St
Oak Harbor, WA 98277-4832

Phone

(360) 240-4043

Fax

(360) 675-1440

NPI assigned

May 5, 2014

Last updated

May 5, 2014By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1912317496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E SPRUCE ST",
            "address_2": "MOUNT VERNON",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732951",
            "telephone_number": "360-419-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE GOLDIE ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982774832",
            "telephone_number": "360-240-4043",
            "fax_number": "360-675-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORT",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60160445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Anthony Foley, MD
• Chaney Foote, RDH, BS
• Jeffrey A Ford, MD
• Joan McPherson Forest, LICSW
• Heather Dawn Forrest, SUDPT
• Richard Allan Fort, MD
• Michael Foss
• Daniel Andrew Foster, D.O.
• Julie Foster
• Haigh P Fox, MD

• Clinical Social Worker in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.