Ms. Elissa Forman, LICSW
Social Worker, Clinical in Florence, Massachusetts
1578532438- Practice location
- 70 Main St, Florence, MA 01062-1466
- Phone
- 413-586-8400
- Fax
- 866-644-0872
- Last updated
- December 11, 2023
Elissa Forman is a Social Worker, Clinical based in Florence, MA. Elissa Forman practices in Florence, MA and has the professional credentials of LICSW. The NPI Number for Elissa Forman is 1578532438 and holds a License No. 1031672 (MA). The current practice location address for Elissa Forman is 70 Main St, Florence, MA 01062-1466 and can be reached out via phone at 413-586-8400 and via fax at 866-644-0872.
Provider Profile Details
- NPI Number
- 1578532438
- Provider Name
- Elissa Forman
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 70 Main St, Florence, MA 01062-1466
- Phone Number
- 413-586-8400
- Fax Number
- 866-644-0872
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 14, 2006
- Last Update Date
- December 11, 2023
- Certification Date
- December 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Main St
Florence, MA 01062-1466 - City
- Florence
- State
- Massachusetts
- Zip
- 01062-1466
- Phone Number
- 413-586-8400
- Fax Number
- 866-644-0872
Provider Business Mailing Address Details
- Address
- 70 Main St
Florence, MA 01062 - City
- Florence
- State
- MA
- Zip
- 01062
- Phone Number
- 413-586-8400
- Fax Number
- 866-644-0872
License Information
- License Number
- 1031672
- License State
- MA
- 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 Florence, MA
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Frequently Asked Questions
What is the NPI number of Ms. Elissa Forman, LICSW?
The NPI number of Ms. Elissa Forman, LICSW is 1578532438. It was assigned on March 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Elissa Forman, LICSW?
Ms. Elissa Forman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1031672.
Where does Ms. Elissa Forman, LICSW practice?
The practice location is 70 Main St, Florence, MA 01062-1466. The office can be reached at 413-586-8400 (phone) or 866-644-0872 (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 1578532438 directly on the NPPES registry website.