MS. KELLY ANN FORMAN LSW
NPI 1568895480
Social Worker - Clinical in Columbus, OH

Active since August 14, 2013
691 N HIGH ST, SUITE 303, COLUMBUS, OH 43215(614) 407-4033 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kelly Ann Forman Lsw NPPES

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

MS. KELLY ANN FORMAN LSW (NPI 1568895480) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (S.1200417) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1568895480
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLY ANN FORMANCredential: LSW
Location Address691 N HIGH ST, SUITE 303Columbus, OH 43215-1583
Mailing AddressPo Box 73Sunbury, OH 43074-0073 · (614) 407-4033
Sole ProprietorNo
Enumeration DateAugust 14, 2013
NPI 1568895480 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 OH · S.1200417
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.
691 N HIGH ST, Columbus, OH 43215

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
691 N HIGH ST, SUITE 303
COLUMBUS, OH 43215
Counselor (Professional)
691 N HIGH ST, SUITE 301
COLUMBUS, OH 43215

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 Kelly Forman's NPI number?

The NPI number for Kelly Forman is 1568895480. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Kelly Forman located?

Kelly Forman practices at 691 N High St Suite 303, Columbus, OH 43215. The listed phone number is (614) 407-4033.

What is Kelly Forman'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 Kelly Forman was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.