Dolores R Fortson, MSW CDCA - Counselor in Cleveland, OH

Dolores R Fortson, MSW CDCA is a Counselor - Addiction (substance Use Disorder) based in Cleveland, Ohio. Dolores R Fortson is licensed to practice in Ohio (license number 163220) and her current practice location is 2532 E 86th St, Cleveland, Ohio. She can be reached at her office (for appointments etc.) via phone at (216) 456-6957.

NPI number for Dolores R Fortson is 1083176531 and her current mailing address is 5104 Quincy Ave Apt 2139, Cleveland, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083176531.

Contact Information

Dolores R Fortson, MSW CDCA
2532 E 86th St,
Cleveland, OH 44104-2244
(216) 456-6957
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDolores R Fortson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location2532 E 86th St, Cleveland, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083176531
  • Provider Enumeration Date: 04/03/2019
  • Last Update Date: 04/03/2019

Medical Identifiers

Medical identifiers for Dolores R Fortson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083176531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 163220 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dolores R Fortson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dolores R Fortson, MSW CDCA
5104 Quincy Ave Apt 2139,
Cleveland, OH 44104-1244

Ph: (216) 235-7540
Dolores R Fortson, MSW CDCA
2532 E 86th St,
Cleveland, OH 44104-2244

Ph: (216) 456-6957

Reviews and Comments


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