| Ms Annette Louise Fortino, LCSW ACSW CAC-II | |
|
1535 Industrial Park Dr, Hart, MI 49420-8377 | |
| (517) 231-6550 | |
| Not Available |
| Full Name | Ms Annette Louise Fortino |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 36 Years |
| Location | 1535 Industrial Park Dr, Hart, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194838599 | NPI | - | NPPES |
| 6224761 | Other | MI | UBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801035655 (Michigan) | Primary |
| 104100000X | Social Worker | 6801035655 (Michigan) | Secondary |
| Entity Name | Annette L Fortino Lcsw Acsw Cac-ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871879080 PECOS PAC ID: 4981862281 Enrollment ID: O20120215000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Annette Louise Fortino, LCSW ACSW CAC-II Po Box 10, Mason, MI 48854-0010 Ph: (517) 676-9788 | Ms Annette Louise Fortino, LCSW ACSW CAC-II 1535 Industrial Park Dr, Hart, MI 49420-8377 Ph: (517) 231-6550 |
Ann Marie Blacktop, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-5675 Fax: 231-873-4805 | |
James Mccann, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2481 N 72nd Ave, Hart, MI 49420 Phone: 231-873-2163 | |
Mrs. Jesse Marie Burke, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Johnson Street, Hart, MI 49420 Phone: 231-873-0586 Fax: 616-554-5555 | |
Janelle Donjon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-6900 |