CAROLYN M FORTENBERRY LCSW
NPI 1215286273
Social Worker - Clinical in Conshohocken, PA

Q: What is Carolyn Fortenberry's NPI number?

The NPI number for Carolyn Fortenberry is 1215286273. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Q: What is Carolyn Fortenberry's specialty?

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

Active since September 06, 2012PECOS EnrolledAccepts Medicare Assignment

20 E 2ND AVE STE 100, CONSHOHOCKEN, PA 19428(610) 635-5677(610) 828-4910 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2019, Nov 6, 2017 (2 updates tracked since 2017).

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About Carolyn M Fortenberry Lcsw NPPES

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

CAROLYN M FORTENBERRY LCSW (NPI 1215286273) is an individual clinical provider in Conshohocken, Pennsylvania, licensed in Pennsylvania (CW016832) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1215286273

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCAROLYN M FORTENBERRYCredential: LCSW

Location Address20 E 2ND AVE STE 100Conshohocken, PA 19428-1880

Mailing Address1101 New Dehaven StConshohocken, PA 19428-2742 · (610) 635-5677 · Fax (610) 828-4910

Phone(610) 635-5677

Fax(610) 828-4910

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateSeptember 6, 2012

Last NPPES UpdateNovember 1, 20242 updates tracked since enumeration

NPPES CertifiedNovember 1, 2024

✔ NPI 1215286273 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 PA · CW016832

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.

20 E 2ND AVE STE 100, Conshohocken, PA 19428

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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

Carolyn M Fortenberry 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 ID3779700190

PECOS Enrollment IDI20140808000500

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 Carolyn Fortenberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conshohocken Center For Emotional Health

Same address

Clinical

20 E 2ND AVE STE 100
Conshohocken, PA 19428

Reassigned Medicare billing, Pennsylvania enrollment
4 clinicians in this Medicare group

NPI 1003363615 (610) 635-5677

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 19428 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 $59.88 – $180.99

Typical copayment $0.00 (range $14.97 – $45.24)

Most-billed visit code NA

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSHOHOCKEN CENTER FOR EMOTIONAL HEALTH

Social Worker (Clinical)