Elissia Forty, LSW
Social Worker, Clinical in Blackwood, New Jersey
1932929502- Practice location
- 4551 Route 42 Ste 5, Blackwood, NJ 08012-1751
- Phone
- 856-271-4490
- Fax
- —
- Last updated
- October 16, 2024
Elissia Forty is a Social Worker, Clinical based in Blackwood, NJ. Elissia Forty practices in Blackwood, NJ and has the professional credentials of LSW. The NPI Number for Elissia Forty is 1932929502 and holds a License No. 44SL06845000 (NJ). The current practice location address for Elissia Forty is 4551 Route 42 Ste 5, Blackwood, NJ 08012-1751 and can be reached out via phone at 856-271-4490.
Provider Profile Details
- NPI Number
- 1932929502
- Provider Name
- Elissia Forty
- Credential
- LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4551 Route 42 Ste 5, Blackwood, NJ 08012-1751
- Phone Number
- 856-271-4490
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 16, 2024
- Last Update Date
- October 16, 2024
- Certification Date
- October 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4551 Route 42 Ste 5
Blackwood, NJ 08012-1751 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-1751
- Phone Number
- 856-271-4490
Provider Business Mailing Address Details
- Address
- 455 Penn Blvd
Woodbury, NJ 08096-2821 - City
- Woodbury
- State
- NJ
- Zip
- 08096-2821
- Phone Number
- 856-271-4490
License Information
- License Number
- 44SL06845000
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Elissia Forty, LSW?
The NPI number of Elissia Forty, LSW is 1932929502. It was assigned on October 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Elissia Forty, LSW?
Elissia Forty, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06845000.
Where does Elissia Forty, LSW practice?
The practice location is 4551 Route 42 Ste 5, Blackwood, NJ 08012-1751. The office can be reached at 856-271-4490 (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 1932929502 directly on the NPPES registry website.