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DAWN M FORTICH LCSW
NPI 1205277977
Social Worker - Clinical in Knoxville, TN

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
194 MARKET PLACE BLVD, KNOXVILLE, TN 37922(865) 212-6600(865) 313-2149 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dawn M Fortich Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAWN M FORTICH LCSW (NPI 1205277977) is an individual clinical provider in Knoxville, Tennessee, licensed in Tennessee (LSW0000004990) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of University Of Kentucky College Of Medicine (1997).

NPPES Registry Identity

NPI1205277977
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDAWN M FORTICHCredential: LCSW
Location Address194 MARKET PLACE BLVDKnoxville, TN 37922
Mailing AddressPo Box 31569Knoxville, TN 37930-1569 · (865) 212-6600 · Fax (865) 313-2149
Phone(865) 212-6600
Fax(865) 313-2149
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1997
Enumeration DateJuly 10, 2013
Last NPPES UpdateJanuary 31, 2019
✔ NPI 1205277977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · LSW0000004990
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
194 MARKET PLACE BLVD, Knoxville, TN 37922
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Secondary Practice Location 1

Location 15908 Toole Dr, Suite AKnoxville, TN 37919-4124 · Phone (865) 694-1664 · Fax (626) 544-1629

Other Identifiers 1

Medicaid1533131TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dawn M Fortich Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810122579
PECOS Enrollment IDI20131105000967
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dawn Fortich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of North Carolina, P.C.
Same address
Clinical
192 MARKET PLACE BLVD STE D162
Knoxville, TN 37922
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Optum Behavioral Care Of North Carolina PC
  • 18 clinicians in this Medicare group
NPI 1942194493 (877) 622-0013

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dawn Fortich's NPI number?

The NPI number for Dawn Fortich is 1205277977. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Dawn Fortich located?

Dawn Fortich practices at 194 Market Place Blvd, Knoxville, TN 37922. The listed phone number is (865) 212-6600.

What is Dawn Fortich's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dawn Fortich enrolled in Medicare?

Yes. Dawn Fortich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Dawn Fortich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Fortich reassigns Medicare benefits to Optum Behavioral Care Of North Carolina, P.C. (Knoxville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dawn Fortich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Fortich accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Dawn Fortich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dawn Fortich was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.