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MS. STEPHANIE FORMAN
NPI 1609277177
Case Manager/Care Coordinator in Eureka, CA

Active since September 15, 2014

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Stephanie Forman NPPES

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

MS. STEPHANIE FORMAN (NPI 1609277177) is an individual case manager/care coordinator provider in Eureka, California and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1609277177
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMS. STEPHANIE FORMAN
Location Address720 WOOD STEureka, CA 95501-4413
Mailing Address720 Wood StEureka, CA 95501-4413 · (707) 268-2990
Phone(707) 268-2990
Sole ProprietorYes
Enumeration DateSeptember 15, 2014
✔ NPI 1609277177 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.
720 WOOD ST, Eureka, CA 95501
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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.

MISS ASHLEY DAWN KINMAN
Case Manager/Care Coordinator
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
JACQUELYN WHITE
Counselor (Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
SHAWNA RECKINGER RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ALLISON JUDY PHILLIPS RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
AIMEE LEEANNE WOODS LVN
Licensed Vocational Nurse
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2990
ERIC CARL VEDBORG LMFT
Marriage & Family Therapist
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 268-2935
MS. LESLIE ANN PETERSEN
Registered Nurse
720 WOOD ST, HUMBOLDT COUNTY MENTAL HEALTH
EUREKA, CA 95501
Humboldt County (707) 445-7710
BARBARA MARY FRANKLIN RN
Registered Nurse (Psychiatric/Mental Health)
720 WOOD ST
EUREKA, CA 95501
Humboldt County (707) 445-7710

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 Stephanie Forman's NPI number?

The NPI number for Stephanie Forman is 1609277177. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Stephanie Forman located?

Stephanie Forman practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.

What is Stephanie Forman's specialty?

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

When was this NPI record last updated?

The NPPES record for Stephanie Forman was last updated on September 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.