Christopher Michael Fortunato, JD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

215336 Issued in MA

Practice address

Providence College
1 Cunningham Square
Providence, RI 02918-0001

Phone

(401) 865-1772

NPI assigned

May 5, 2009

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Juris Doctor

State licenses

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1932333010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUMMER LN",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017017907",
            "telephone_number": "508-877-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PROVIDENCE COLLEGE",
            "address_2": "1 CUNNINGHAM SQUARE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029180001",
            "telephone_number": "401-865-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTUNATO",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "JD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "215336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Fortin, LICSW
• Rochelle L Fortin, LICSW
• Kristina Anne Fortini
• Mary Fortuna-Silva, NP
• Fortunato Psychology Services, LLC
• Jessica Victoria Fortunato, PSY.D.
• Abigail Foster
• Allison Foster, PA-C
• Lori Anne Foster, BA
• Paula J Foster, MSW

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.