- Practice location
- 11 Polhemus St, Suite 1, Tappan, NY 10983-1722
- Phone
- 845-536-8875
- Fax
- 845-398-8875
- Last updated
- October 4, 2007
Sharon Forman is a Social Worker, Clinical based in Tappan, NY. Sharon Forman practices in Tappan, NY and has the professional credentials of LCSW. The NPI Number for Sharon Forman is 1740399369 and holds a License No. 044648 (NY). The current practice location address for Sharon Forman is 11 Polhemus St, Suite 1, Tappan, NY 10983-1722 and can be reached out via phone at 845-536-8875 and via fax at 845-398-8875.
Provider Profile Details
- NPI Number
- 1740399369
- Provider Name
- Sharon Forman
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Polhemus St, Suite 1, Tappan, NY 10983-1722
- Phone Number
- 845-536-8875
- Fax Number
- 845-398-8875
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 29, 2006
- Last Update Date
- October 4, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Polhemus St
Suite 1
Tappan, NY 10983-1722 - City
- Tappan
- State
- New York
- Zip
- 10983-1722
- Phone Number
- 845-536-8875
- Fax Number
- 845-398-8875
Provider Business Mailing Address Details
- Address
- 11 Polhemus St
Tappan, NY 10983-1722 - City
- Tappan
- State
- NY
- Zip
- 10983-1722
- Phone Number
- 845-398-8875
License Information
- License Number
- 044648
- License State
- NY
- 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 Tappan, NY
View all Social Worker, Clinical providers in Tappan →Frequently Asked Questions
What is the NPI number of Sharon Forman, LCSW?
The NPI number of Sharon Forman, LCSW is 1740399369. It was assigned on August 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Sharon Forman, LCSW?
Sharon Forman, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 044648.
Where does Sharon Forman, LCSW practice?
The practice location is 11 Polhemus St, Suite 1, Tappan, NY 10983-1722. The office can be reached at 845-536-8875 (phone) or 845-398-8875 (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 1740399369 directly on the NPPES registry website.