- Practice location
- 1138 E 9TH St, Brooklyn, NY 11230-4704
- Phone
- 732-668-2187
- Fax
- —
- Last updated
- December 18, 2017
Mozelle Forman is a Social Worker, Clinical based in Brooklyn, NY. Mozelle Forman practices in Brooklyn, NY. The NPI Number for Mozelle Forman is 1710493416 and holds a License No. 053989 (NY). The current practice location address for Mozelle Forman is 1138 E 9TH St, Brooklyn, NY 11230-4704 and can be reached out via phone at 732-668-2187.
Provider Profile Details
- NPI Number
- 1710493416
- Provider Name
- Mozelle Forman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1138 E 9TH St, Brooklyn, NY 11230-4704
- Phone Number
- 732-668-2187
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 18, 2017
- Last Update Date
- December 18, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1138 E 9TH St
Brooklyn, NY 11230-4704 - City
- Brooklyn
- State
- New York
- Zip
- 11230-4704
- Phone Number
- 732-668-2187
Provider Business Mailing Address Details
- Address
- 1172 Elberon Ave
Long Branch, NJ 07740-4506 - City
- Long Branch
- State
- NJ
- Zip
- 07740-4506
- Phone Number
- 732-668-2187
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 053989
- License State (2)
- NY
- Taxonomy (2)
- 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 Brooklyn, NY
View all Social Worker, Clinical providers in Brooklyn →- Allison Maury, LCSWSocial Worker, Clinical · NPI 1811432693
- Andrea Brown, LCSWSocial Worker, Clinical · NPI 1164792149
- Andrew GonzalezSocial Worker, Clinical · NPI 1386462257
- Andrew Mouldovan, LCSWSocial Worker, Clinical · NPI 1033415625
- Angela Angelis, LCSWSocial Worker, Clinical · NPI 1366980732
- Anna S Krayn PHD PCSocial Worker, Clinical · NPI 1174698872
Frequently Asked Questions
What is the NPI number of Mozelle Forman?
The NPI number of Mozelle Forman is 1710493416. It was assigned on December 18, 2017 and is currently active in the NPPES registry.
What is the specialty of Mozelle Forman?
Mozelle Forman is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 053989.
Where does Mozelle Forman practice?
The practice location is 1138 E 9TH St, Brooklyn, NY 11230-4704. The office can be reached at 732-668-2187 (phone).
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 1710493416 directly on the NPPES registry website.