Organization
THE FORTUNE SOCIETY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY GOLDSTEIN (VP, AGENCY OPERATIONS)
(212) 691-7554
Entity
Organization
Contact information
Practice address
THE FORTUNE SOCIETY INC., 29-76 NORTHERN BLVD 2ND FL, LONG ISLAND CITY, NY 11101-2822
(212) 691-7554
(347) 510-3457
Mailing address
29-76 NORTHERN BLVD, 2ND FL, LONG ISLAND CITY, NY 11101-2822
(347) 510-3442
(347) 510-3457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
061211539
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
11776
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
141011539
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
17241
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
17947
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
19241
NY
101YM0800X
Mental Health Counselor
8095001A
NY
1041C0700X
Clinical Social Worker
0483531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02740141
—
NY
Enumeration date
04/23/2007
Last updated
12/01/2025
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