Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Allison Ruth Fortunata, LICSW

Individual provider Clinical Social Worker · NPI 1366115982

Allison Ruth Fortunata, LICSW is a Clinical Social Worker in Woburn, Massachusetts. Qualified in 2023, 3 years ago. Practices with Northeast Health Services LLC, a 469-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

50 Tower Ofc Park
Woburn, MA 01801-2113
Phone: (339) 345-2359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1366115982
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 29, 2021
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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