KAITLIN S FORMAN LCSW
NPI 1487088423
Social Worker - Clinical in Glenwood Springs, CO

Q: What is Kaitlin Forman's NPI number?

The NPI number for Kaitlin Forman is 1487088423. It was assigned to this individual provider in the NPPES registry on August 27, 2013.

Q: What is Kaitlin Forman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Forman was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 27, 2013PECOS EnrolledAccepts Medicare Assignment

1905 BLAKE AVE STE 101, GLENWOOD SPRINGS, CO 81601(970) 945-2840 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 1, 2023, Nov 3, 2021 (2 updates tracked since 2021).

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About Kaitlin S Forman Lcsw NPPES

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

KAITLIN S FORMAN LCSW (NPI 1487088423) is an individual clinical provider in Glenwood Springs, Colorado, licensed in Colorado (CSW.09925563) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1487088423

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKAITLIN S FORMANCredential: LCSW

Location Address1905 BLAKE AVE STE 101Glenwood Springs, CO 81601-4206

Mailing Address4117 Quitman StDenver, CO 80212-2127

Phone(970) 945-2840

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 27, 2013

Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1487088423 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 CO · CSW.09925563

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.

1905 BLAKE AVE STE 101, Glenwood Springs, CO 81601

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitlin S Forman 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 ID3274954987

PECOS Enrollment IDI20200605000232

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81601 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 $58.06 – $174.82

Typical copayment $0.00 (range $14.51 – $43.70)

Most-billed visit code NA

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

Other Providers at the Same Location NPPES 18

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

MARIA YVONNE CHANSKY MD

Family Medicine