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

ELISSIA FORTY, LSW

Active

ELISSIA FORTY, LSW is a Clinical Social Worker healthcare provider located in BLACKWOOD, New Jersey. NPI 1932929502 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BLACKWOOD, NJ

Registration Details

NPI Number
1932929502
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2024 (1.8010243305357 yrs)
Last Updated
Oct 16, 2024
License
44SL06845000 (NJ)

Practice Information

Address
4551 ROUTE 42 STE 5
BLACKWOOD, NJ, 080121751
Browse NJ providers · Browse ZIP 08012
Phone
8562714490
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in BLACKWOOD, NJ

Name Credential NPI
MS. MONIQUE LA-RUTH HART MSW, LCSW, LICSW 1942440664
MICHELLE ROBIN CARLAMERE LCSW 1932420924
KEISH MALYN TUCKER LCSW 1982973244
MR. VINCENT AUSTIN-COLE LCSW 1144624420
AMANDALYNN SALZMAN MS, MSW, LCSW 1356860407
LEAH WRIGHT LCSW 1114672706
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.