NPI 1083981898 · live from the CMS NPI Registry
Charissa Rose Fortier, LCSW, BCBA
Social Worker, Clinical in Westbrook, ME. National Provider Identifier 1083981898, active.
NPI record
| NPI | 1083981898 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 15 Saunders Way, Suite #720, Westbrook, ME 04092 |
| Practice phone | 207-878-9663 |
| Mailing address | 29 Fairfield Rd, Casco, ME 04015 |
| Enumerated | November 22, 2011 |
| Last updated | August 19, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | LC13584 (ME) |
| Behavior Analyst | 103K00000X | 1-16-21527 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.