MEDICARE: KATHRYN REBECCA FORTUNE-GALLAGHER LMSW, ACSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	097803-01	NY
2	1041C0700X	Clinical Social Worker	SWB-2025-0561.	NM
3	104100000X	Social Worker	6801067347	MI

General Provider Information

NPI Number	:	1285914119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN REBECCA FORTUNE-GALLAGHER LMSW, ACSW

Provider Business Mailing Address
First Line	:	2623 BLUE HERON PL
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4392
Country	:	US
Telephone Number	:	734-260-3777
Fax Number	:	999-999-9999

Provider Business Practice Location Address
First Line	:	2623 BLUE HERON PL
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4392
Country	:	US
Telephone Number	:	734-260-3777
Fax Number	:	999-999-9999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2011
Last Update Date	:	01/08/2026

Similar Medicare Providers

1972934925 — AMITA PATEL
Practice Location Address:

6575 W TROPICANA AVE APT G-1020 , 1020
LAS VEGAS, NV
89103-4392

Practice Phone: 702-523-8814
Practice Fax:

1427441278 — BRITTANY HENDERSON
Practice Location Address:

3235 E FLAMINGO RD APT 204
LAS VEGAS, NV
89121-4392

Practice Phone: 323-557-3239
Practice Fax:

1760111629 — CHELLIE CAMPOS
Practice Location Address:

98 S MARTIN LUTHER KING BLVD APT 133
LAS VEGAS, NV
89106-4392

Practice Phone: 626-362-6179
Practice Fax:

1346062395 — TISHA WATKINS
Practice Location Address:

6575 W TROPICANA AVE
LAS VEGAS, NV
89103-4392

Practice Phone: 702-695-5253
Practice Fax: 702-695-5253

1184565889 — RACHEL MOJICA DO
Practice Location Address:

4371 E LOHMAN AVE FL 3
LAS CRUCES, NM
88011-8255

Practice Phone: 575-523-5679
Practice Fax:

1548101108 — DR. CALEB HUANG
Practice Location Address:

4311 E LOHMAN AVE
LAS CRUCES, NM
88011-8255

Practice Phone: 575-556-7600
Practice Fax:

Directions to “ KATHRYN REBECCA FORTUNE-GALLAGHER LMSW, ACSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.