Ms. Kristen M Forman, LCSW
Social Worker, Clinical in Ridgewood, New Jersey
1285105403- Practice location
- 115 Pine Street, Suite 303, Ridgewood, NJ 07450
- Phone
- 201-564-0597
- Fax
- 201-670-1214
- Last updated
- July 6, 2022
Kristen Marie Forman is a Social Worker, Clinical based in Ridgewood, NJ. Kristen Marie Forman practices in Ridgewood, NJ and has the professional credentials of LCSW. The NPI Number for Kristen Marie Forman is 1285105403 and holds a License No. 44SC05624500 (NJ). The current practice location address for Kristen Marie Forman is 115 Pine Street, Suite 303, Ridgewood, NJ 07450 and can be reached out via phone at 201-564-0597 and via fax at 201-670-1214.
Provider Profile Details
- NPI Number
- 1285105403
- Provider Name
- Kristen Marie Forman
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 115 Pine Street, Suite 303, Ridgewood, NJ 07450
- Phone Number
- 201-564-0597
- Fax Number
- 201-670-1214
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Ms. Kristen Greany, LSW (Former Name)
- Provider Enumeration Date
- December 16, 2018
- Last Update Date
- July 6, 2022
- Certification Date
- July 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 115 Pine Street
Suite 303
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450
- Phone Number
- 201-564-0597
- Fax Number
- 201-670-1214
Provider Business Mailing Address Details
- Address
- 115 Pine Street
Suite 303
Ridgewood, NJ 07450 - City
- Ridgewood
- State
- NJ
- Zip
- 07450
- Phone Number
- 201-564-0597
- Fax Number
- 201-670-1214
License Information
- License Number
- 44SC05624500
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Ridgewood, NJ
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Frequently Asked Questions
What is the NPI number of Ms. Kristen M Forman, LCSW?
The NPI number of Ms. Kristen M Forman, LCSW is 1285105403. It was assigned on December 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Ms. Kristen M Forman, LCSW?
Ms. Kristen M Forman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05624500.
Where does Ms. Kristen M Forman, LCSW practice?
The practice location is 115 Pine Street, Suite 303, Ridgewood, NJ 07450. The office can be reached at 201-564-0597 (phone) or 201-670-1214 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285105403 directly on the NPPES registry website.