Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KRISTEN MARIE FORMAN, LCSW
ActiveMS. KRISTEN MARIE FORMAN, LCSW is a Clinical Social Worker healthcare provider located in RIDGEWOOD, New Jersey. NPI 1285105403 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RIDGEWOOD, NJ
Registration Details
- NPI Number
- 1285105403
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2018 (7.6420149196021 yrs)
- Last Updated
- Jul 6, 2022
- License
-
44SC05624500 (NJ)
Practice Information
- Address
-
115 PINE STREETSUITE 303RIDGEWOOD, NJ, 07450Browse NJ providers · Browse ZIP 07450
- Phone
- 2015640597
- Fax
- 2016701214
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in RIDGEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| SHERRY KATZ | LCSW | 1689679854 |
| MS. SUSAN ANNE EARL | LCSW | 1528001153 |
| MR. JOSEPH PANEPINTO | LCSW | 1881622140 |
| DR. JEAN SUSAN COE | MSW, PHD | 1114958030 |
| MS. MIRNA JOANN RUIZ-VAZQUEZ | LCSW, CASAC | 1205861119 |
| MISS MELISSA L. DONAHUE | — | 1477577781 |
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.