KELLY ANN FORTINO
NPI 1427399104
Social Worker - Clinical in Grayling, MI

Active since March 06, 2013
204 MEADOWS DR, GRAYLING, MI 49738(989) 348-0017 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Ann Fortino NPPES

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

KELLY ANN FORTINO (NPI 1427399104) is an individual clinical provider in Grayling, Michigan, licensed in Michigan (6802014734) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1427399104
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKELLY ANN FORTINO
Location Address204 MEADOWS DRGrayling, MI 49738-2013
Mailing Address204 Meadows DrGrayling, MI 49738-2013 · (989) 348-0017
Sole ProprietorNo
Enumeration DateMarch 6, 2013
NPI 1427399104 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 MI · 6802014734
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.
204 MEADOWS DR, Grayling, MI 49738

Other Identifiers 1

Medicaid6802014734MI

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
204 MEADOWS DR
GRAYLING, MI 49738
Social Worker
204 MEADOWS DR
GRAYLING, MI 49738
Counselor (Mental Health)
204 MEADOWS DR
GRAYLING, MI 49738
Case Manager/Care Coordinator
204 MEADOWS DR
GRAYLING, MI 49738
Peer Specialist
204 MEADOWS DR
GRAYLING, MI 49738
Registered Nurse
204 MEADOWS DR
GRAYLING, MI 49738
Behavior Technician
204 MEADOWS DR
GRAYLING, MI 49738
Social Worker (Clinical)
204 MEADOWS DR
GRAYLING, MI 49738

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 Kelly Fortino's NPI number?

The NPI number for Kelly Fortino is 1427399104. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Kelly Fortino located?

Kelly Fortino practices at 204 Meadows Dr, Grayling, MI 49738. The listed phone number is (989) 348-0017.

What is Kelly Fortino's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Fortino was last updated on March 6, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.