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

Individual provider Clinical Social Worker · NPI 1750986170

Tasha L. Fortenberry, LCSW is a Clinical Social Worker in Lawrenceville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
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

1828 Summer Ridge Ln
Lawrenceville, GA 30044-3956
Phone: (470) 231-8081
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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 CSW008661 (GA)

Record details

NPI number1750986170
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 2, 2020
Last updated in NPPESFebruary 22, 2024
Certification dateFebruary 22, 2024

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