Individual
JOHN JOSEPH FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330-4599
(304) 396-8878
Mailing address
710 MAGNOLIA LN, BRIDGEPORT, WV 26330-1693
(906) 251-8842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BP00947322
WV
1041C0700X
Clinical Social Worker
Primary
—
WV
Other
Enumeration date
08/08/2025
Last updated
04/15/2026
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