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

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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1522 Golden Ridge Dr
Lady Lake, FL 32162-6765 Not confirmed with CMS for 19 years — call before visiting
Phone: (352) 638-2264
Fax: (352) 259-4050
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients27
Services billed 166 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Lady Lake