GLEN FORNERIS
NPI 1073021192
Social Worker - Clinical in Rockford, IL

Active since January 11, 2018
1021 N MULFORD RD, ROCKFORD, IL 61107(815) 387-5600(815) 316-4726 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glen Forneris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN FORNERIS (NPI 1073021192) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149017684) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1073021192
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGLEN FORNERIS
Location Address1021 N MULFORD RDRockford, IL 61107-3877
Mailing Address1021 N Mulford RdRockford, IL 61107-3877 · (815) 387-5600 · Fax (815) 316-4726
Fax(815) 316-4726
Sole ProprietorNo
Enumeration DateJanuary 11, 2018
NPI 1073021192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149017684
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1021 N MULFORD RD, Rockford, IL 61107

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1021 N MULFORD RD
ROCKFORD, IL 61107
Counselor (Professional)
1021 N MULFORD RD
ROCKFORD, IL 61107
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Social Worker
1021 N MULFORD RD
ROCKFORD, IL 61107
Dentist
1021 N MULFORD RD, SUITE 2
ROCKFORD, IL 61107
Social Worker (Clinical)
1021 N MULFORD RD
ROCKFORD, IL 61107
Counselor (Professional)
1021 N MULFORD RD
ROCKFORD, IL 61107
Nurse Practitioner (Psychiatric/Mental Health)
1021 N MULFORD RD
ROCKFORD, IL 61107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Forneris's NPI number?

The NPI number for Glen Forneris is 1073021192. It was assigned to this individual provider in the NPPES registry on January 11, 2018.

Where is Glen Forneris located?

Glen Forneris practices at 1021 N Mulford Rd, Rockford, IL 61107. The listed phone number is (815) 387-5600.

What is Glen Forneris's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Glen Forneris was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.