Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Therese Fortier, LCSW

Individual provider Clinical Social Worker · NPI 1770785552

Mary Therese Fortier, LCSW is a Clinical Social Worker in Roseburg, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

230 W Berdine St 1813 W Harvard Ste 230
Roseburg, OR 97470-2203
Phone: (541) 440-3715
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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 · Licence L2416 (OR)

Record details

NPI number1770785552
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 4, 2007
Last updated in NPPESJuly 8, 2007

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