Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN FORNERIS
ActiveGLEN FORNERIS is a Clinical Social Worker healthcare provider located in ROCKFORD, Illinois. NPI 1073021192 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ROCKFORD, IL
Registration Details
- NPI Number
- 1073021192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2018 (8.5714055178132 yrs)
- Last Updated
- Jan 11, 2018
- License
-
149017684 (IL)
Practice Information
- Address
-
1021 N MULFORD RDROCKFORD, IL, 611073877Browse IL providers · Browse ZIP 61107
- Phone
- 8153875600
- Fax
- 8153164726
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MISS MARCY L TUREK | LCSW | 1013994789 |
| MRS. SHARON ANN OCKERLANDER | MSW | 1538149273 |
| MR. JAMES ROBERT DAVIES | LCSW | 1235103730 |
| MS. LAURA LYNN ALLMAN | LCSW | 1881661023 |
| MR. DANIEL SOMMER | LCSW | 1265470496 |
| MRS. BARBARA HALLSTROM | MSW/LCSW | 1154360758 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.