DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUSAN FORMAN, LCSW

Active

SUSAN FORMAN, LCSW is a Social Worker healthcare provider located in WOODBRIDGE, Connecticut. NPI 1912010877 is currently active in the NPPES registry. Verify at CMS.

Social Worker · WOODBRIDGE, CT

Registration Details

NPI Number
1912010877
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2006 (19.996746242896 yrs)
Last Updated
Jul 8, 2007
License
001232 (CT)

Practice Information

Address
270 AMITY RD
SUITE 130
WOODBRIDGE, CT, 06525
Browse CT providers · Browse ZIP 06525
Phone
2033970064
Fax
2033973537
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in WOODBRIDGE, CT

Name Credential NPI
SARAH MONTELEONE LCSW 1265587331
MS. CHARMAINE SAMUDA LCSW 1558548057
JULIE LUCE LMSW 1487377438
CHAVONN DUNCAN 1679258693
BRANAZIA R WALTON 1093594988
BRIANA PIVARNIK 1700600723
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.