MS. KATRINA FORMAN MSW, LCSW
NPI 1447538269
Social Worker - Clinical in Hollywood, FL

Active since July 27, 2011PECOS EnrolledAccepts Medicare Assignment
4302 HOLLYWOOD BLVD # 127, HOLLYWOOD, FL 33021(954) 505-0554(954) 505-0554 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Katrina Forman Msw, Lcsw NPPES

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

MS. KATRINA FORMAN MSW, LCSW (NPI 1447538269) is an individual clinical provider in Hollywood, Florida, licensed in Florida (SW17881) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1447538269
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KATRINA FORMANCredential: MSW, LCSW
Location Address4302 HOLLYWOOD BLVD # 127Hollywood, FL 33021-6635
Mailing Address4302 Hollywood Blvd Ste 127Hollywood, FL 33021-6635 · (954) 505-0554
Fax(954) 505-0554
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 27, 2011
Last NPPES UpdateApril 14, 2023
NPPES CertifiedJanuary 5, 2022
✔ NPI 1447538269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW17881
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
4302 HOLLYWOOD BLVD # 127, Hollywood, FL 33021

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Katrina Forman Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658785233
PECOS Enrollment IDI20210121001896
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Katrina Forman reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
3356 LAUREL OAK ST
Fort Lauderdale, FL 33312
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group
Clinical
16853 NE 2ND AVE STE 304
North Miami Beach, FL 33162
  • Reassigned Medicare billing, Florida enrollment
  • 148 clinicians in this Medicare group
Community/Behavioral Health
18501 PINES BLVD STE 207
Pembroke Pines, FL 33029
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
7270 NW 12TH ST STE 430
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
8100 W FLAGLER ST STE 202
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
Addiction Medicine
2900 N MILITARY TRL STE 241
Boca Raton, FL 33431
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
223 E OAK ST APT 3
Arcadia, FL 34266
  • Reassigned Medicare billing, Florida enrollment
  • 103 clinicians in this Medicare group
Clinical
100 S ASHLEY DR STE 600
Tampa, FL 33602
  • Reassigned Medicare billing, Florida enrollment
  • 75 clinicians in this Medicare group
Clinical
10204 BODE ST STE B
Plainfield, IL 60585
  • Reassigned Medicare billing, Florida enrollment
  • 57 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
377 services49 patients
Family psychotherapy with patient, 50 minutes 90847
Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.
188 services49 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
43 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.56 – $179.05
Typical copayment $0.00 (range $14.64 – $44.76)
Most-billed visit code NA
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Katrina Forman's NPI number?

The NPI number for Katrina Forman is 1447538269. It was assigned to this individual provider in the NPPES registry on July 27, 2011.

Where is Katrina Forman located?

Katrina Forman practices at 4302 Hollywood Blvd # 127, Hollywood, FL 33021. The listed phone number is (954) 505-0554.

What is Katrina Forman's specialty?

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

Is Katrina Forman enrolled in Medicare?

Yes. Katrina Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katrina Forman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Forman reassigns Medicare benefits to 9 organizations: A & B Counseling Services LLC (Fort Lauderdale, FL), Mtca Psychological Services P.A. (North Miami Beach, FL), Access Medical Care Inc. (Pembroke Pines, FL), La Sagrada Familia Medical Center Inc (Miami, FL), M & m Behavioral Health Center LLC (Miami, FL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katrina Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katrina Forman accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Katrina Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katrina Forman was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.