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SUSAN FORMAN LCSW
NPI 1912010877
Social Worker in Woodbridge, CT

Active since August 16, 2006
270 AMITY RD, SUITE 130, WOODBRIDGE, CT 06525(203) 397-0064(203) 397-3537 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Forman Lcsw NPPES

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

SUSAN FORMAN LCSW (NPI 1912010877) is an individual social worker in Woodbridge, Connecticut, licensed in Connecticut (001232) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1912010877
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSUSAN FORMANCredential: LCSW
Location Address270 AMITY RD, SUITE 130Woodbridge, CT 06525
Mailing Address270 Amity Rd, Suite 130Woodbridge, CT 06525 · (203) 397-0064 · Fax (203) 397-3537
Phone(203) 397-0064
Fax(203) 397-3537
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912010877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CT · 001232
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
270 AMITY RD, Woodbridge, CT 06525
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Other Identifiers 2

Other11585299Caq0h
Medicare UPINS20490

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.

DR. BENJAMIN SZCZYPEK, LLC
Chiropractor
270 AMITY RD, SUITE 132
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 397-7767
JAMIE MARIE LOEHFELM LPC
Counselor (Professional)
270 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 494-3072
HARVEY L. RUBEN,MD PC
Psychiatry & Neurology (Psychiatry)
270 AMITY RD, 130
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 397-0064
HARVEY L. RUBEN, MDPC
Nurse Practitioner (Psychiatric/Mental Health)
270 AMITY RD, SUITE 130
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 397-0064
MICHEL JEAN-BAPTISTE, MD, LLC
Psychiatry & Neurology (Psychiatry)
270 AMITY RD, SUITE 132
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 397-5491
SERENITY COUNSELING LLC
Social Worker (Clinical)
270 AMITY RD, SUITE 130
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 843-0162
DR. CONSTANCE L MINDELL DSW
Social Worker (Clinical)
270 AMITY RD, SUITE 220
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (860) 216-5863
DR. HARVEY LEE RUBEN MD
Psychiatry & Neurology (Psychiatry)
270 AMITY RD, SUITE 130
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 397-0064

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 Susan Forman's NPI number?

The NPI number for Susan Forman is 1912010877. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Susan Forman located?

Susan Forman practices at 270 Amity Rd Suite 130, Woodbridge, CT 06525. The listed phone number is (203) 397-0064.

What is Susan Forman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Susan Forman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.