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

Mrs. Carol G Fortune, LICSW

Individual provider Clinical Social Worker · NPI 1578673083

Mrs. Carol G Fortune, LICSW is a Clinical Social Worker in Lady Lake, Florida. Practices as a sole proprietor. Licensed in Florida and Massachusetts.

Licensed in
FL, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

1522 Golden Ridge Dr
Lady Lake, FL 32162-6765
Phone: (352) 638-2264
Fax: (352) 259-4050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW8072 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 103065 (MA)

Record details

NPI number1578673083
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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