DR. MARY ELIZABETH FORTSON (PHD, LCSW) – Clinical Social Worker, NPI 1386916112

DR. MARY ELIZABETH FORTSON (PHD, LCSW) is a healthcare provider. based in Johnstown, Colorado. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PHD, LCSW. They hold a License No. LCSW76147 (CA). The NPI Number for DR. MARY ELIZABETH FORTSON (PHD, LCSW) is 1386916112

Main info

Female
9 Years Of Experience
Name
DR. MARY ELIZABETH FORTSON (PHD, LCSW)
NPI
1386916112
Phone
Not provided
Address
4285 SATINWOOD DR
Enumeration Date
9 February 2012
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
7416479704
Professional Enrollment ID
I20260128003572
Address ID
FL331301807MI66XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

1,884 CLINICAL SOCIAL WORKER in CO

Provider Addresses for DR. MARY ELIZABETH FORTSON (PHD, LCSW)

  • 4285 SATINWOOD DR

    JOHNSTOWN, CO 805349083

    Phone:

    Type: Mailing

  • 760 WESTWOOD PLZ # A8-153

    LOS ANGELES, CA 900958353

    Phone: (310) 794-1223

    Fax: (310) 794-6159

    Type: Mailing

  • 720 S COLORADO BLVD PH N

    DENVER, CO 802461962

    Phone: (970) 286-7360

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250317000265IClinical Social WorkerGATBD
I20250319002805IClinical Social WorkerCOTBD
I20260106003524IClinical Social WorkerCATBD
I20260128003572IClinical Social WorkerMTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80534)

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Reviews

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Frequently asked questions

How do payers reference DR. MARY ELIZABETH FORTSON (PHD, LCSW)?
For DR. MARY ELIZABETH FORTSON (PHD, LCSW), use NPI 1386916112 as the unique 10-digit identifier.
Is DR. MARY ELIZABETH FORTSON (PHD, LCSW) shown as active in public data?
Registry records indicate DR. MARY ELIZABETH FORTSON (PHD, LCSW) maintains an active NPI.
What expertise is attributed to DR. MARY ELIZABETH FORTSON (PHD, LCSW)?
DR. MARY ELIZABETH FORTSON (PHD, LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is DR. MARY ELIZABETH FORTSON (PHD, LCSW) located near Johnstown?
DR. MARY ELIZABETH FORTSON (PHD, LCSW) currently maps to Johnstown, Colorado in this extract.
When was this NPI issued?
Enumeration for DR. MARY ELIZABETH FORTSON (PHD, LCSW) is noted as February 9, 2012 where the registry provides it.

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