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KRISTINE FORNABY LCSW
NPI 1649726951
Social Worker - Clinical in Guilford, CT

Active since August 27, 2016PECOS Enrolled
35 BOSTON ST, GUILFORD, CT 06437(914) 329-8964 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2019, Jan 15, 2017, Aug 27, 2016 (3 updates tracked since 2016).

About Kristine Fornaby Lcsw NPPES

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

KRISTINE FORNABY LCSW (NPI 1649726951) is an individual clinical provider in Guilford, Connecticut, licensed in Connecticut (009371) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1649726951
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINE FORNABYCredential: LCSW
Location Address35 BOSTON STGuilford, CT 06437-2817
Mailing Address35 Boston StGuilford, CT 06437-2817 · (914) 329-8964
Phone(914) 329-8964
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 27, 2016
Last NPPES UpdateJanuary 18, 20193 updates tracked since enumeration
✔ NPI 1649726951 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 CT · 009371
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.
35 BOSTON ST, Guilford, CT 06437
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Fornaby Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577848951
PECOS Enrollment IDI20170327002161
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 06437 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 13

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

CREATIVE WELLNESS COUNSELING, LLC
Counselor (Professional)
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 605-2827
STEVEN D HOSKING
Counselor (Professional)
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (860) 575-4696
PERSONAL WELLNESS PHYSICAL THERAPY LLC
Specialist
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 809-7813
JANSEN NUTRITION LLC
Clinic/Center (Health Service)
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (917) 975-1784
PROCESS HEALING LLC
Marriage & Family Therapist
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (860) 997-5300
SHORELINE PASTORAL COUNSELING LLC
Counselor
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (860) 301-6600
ELIZABETH E. BRAINERD N.D.
Naturopath
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 738-0020
LEGAL SOCIAL WORK CONSULTANTS LLC
Social Worker (Clinical)
35 BOSTON ST
GUILFORD, CT 06437
South Central Connecticut Planning Region (203) 988-3711

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 Kristine Fornaby's NPI number?

The NPI number for Kristine Fornaby is 1649726951. It was assigned to this individual provider in the NPPES registry on August 27, 2016.

Where is Kristine Fornaby located?

Kristine Fornaby practices at 35 Boston St, Guilford, CT 06437. The listed phone number is (914) 329-8964.

What is Kristine Fornaby's specialty?

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

Is Kristine Fornaby enrolled in Medicare?

Yes. Kristine Fornaby is registered in the Medicare PECOS enrollment system.

What insurance does Kristine Fornaby accept?

Health plans from Providence Health Plan list Kristine Fornaby 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 Kristine Fornaby was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.