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

JASON WAYNE FORQUER, LCSW

Active Sole Proprietor

Clinical Social Worker · LUKE AFB, AZ

Registration Details

NPI Number
1912072463
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2006 (19.466151999605 yrs)
Last Updated
Jun 21, 2023
License
LCSW-19853 (AZ)
Sole Proprietor
Yes

Practice Information

Address
7219 N LITCHFIELD RD
LUKE AFB, AZ, 853091529
Browse AZ providers · Browse ZIP 85309
Phone
6238567579
Fax
6238564433
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LUKE AFB, AZ

Name Credential NPI
KIMBERLY ANNE MONTERO LCSW 1356300461
MR. JEFFREY EDWARD MCLEAN MSW 1609818715
TAMMY LEE HANCOCK LCSW 1386749497
MICHAEL HAROLD COOTER L.C.S.W. 1861581803
MR. JAME H. GAMBLE LCSW 1851489884
MS. CATHERINE OHRIN-GREIPP MSW, LCSW, BCD 1235345026
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.