THERESE EILEEN FORMAN MSW - NPI 1306101274 - Case Manager/Care Coordinator in San Francisco, CA

Q: What is Therese Forman's NPI number?

The NPI number for Therese Forman is 1306101274. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Q: What is Therese Forman's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Therese Forman was last updated on July 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Therese Eileen Forman Msw NPPES

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

THERESE EILEEN FORMAN MSW (NPI 1306101274) is an individual case manager/care coordinator provider in San Francisco, California and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1306101274

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTHERESE EILEEN FORMANCredential: MSW

Location Address4150 CLEMENT STSan Francisco, CA 94121-1545

Mailing Address4150 Clement StSan Francisco, CA 94121-1545 · (415) 221-4810 · Fax (415) 750-6949

Phone(415) 221-4810

Fax(415) 750-6949

Sole ProprietorNo

Enumeration DateJuly 6, 2012

✔ NPI 1306101274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4150 CLEMENT ST, San Francisco, CA 94121

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