Susan Forman, LCSW
Social Worker in Woodbridge, Connecticut
1912010877- Practice location
- 270 Amity RD, Suite 130, Woodbridge, CT 06525
- Phone
- 203-397-0064
- Fax
- 203-397-3537
- Last updated
- July 8, 2007
Susan Forman is a Social Worker based in Woodbridge, CT. Susan Forman practices in Woodbridge, CT and has the professional credentials of LCSW. The NPI Number for Susan Forman is 1912010877 and holds a License No. 001232 (CT). The current practice location address for Susan Forman is 270 Amity RD, Suite 130, Woodbridge, CT 06525 and can be reached out via phone at 203-397-0064 and via fax at 203-397-3537.
Provider Profile Details
- NPI Number
- 1912010877
- Provider Name
- Susan Forman
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 270 Amity RD, Suite 130, Woodbridge, CT 06525
- Phone Number
- 203-397-0064
- Fax Number
- 203-397-3537
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 16, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 270 Amity RD
Suite 130
Woodbridge, CT 06525 - City
- Woodbridge
- State
- Connecticut
- Zip
- 06525
- Phone Number
- 203-397-0064
- Fax Number
- 203-397-3537
Provider Business Mailing Address Details
- Address
- 270 Amity RD
Suite 130
Woodbridge, CT 06525 - City
- Woodbridge
- State
- CT
- Zip
- 06525
- Phone Number
- 203-397-0064
- Fax Number
- 203-397-3537
License Information
- License Number
- 001232
- License State
- CT
- Taxonomy
- Social Worker · 104100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Woodbridge, CT
View all Social Workers in Woodbridge →Frequently Asked Questions
What is the NPI number of Susan Forman, LCSW?
The NPI number of Susan Forman, LCSW is 1912010877. It was assigned on August 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Susan Forman, LCSW?
Susan Forman, LCSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in CT under license number 001232.
Where does Susan Forman, LCSW practice?
The practice location is 270 Amity RD, Suite 130, Woodbridge, CT 06525. The office can be reached at 203-397-0064 (phone) or 203-397-3537 (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 1912010877 directly on the NPPES registry website.