ELISSIA FORTY LSW
NPI 1932929502
Social Worker - Clinical in Blackwood, NJ

Active since October 16, 2024
4551 ROUTE 42 STE 5, BLACKWOOD, NJ 08012(856) 271-4490 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elissia Forty Lsw NPPES

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

ELISSIA FORTY LSW (NPI 1932929502) is an individual clinical provider in Blackwood, New Jersey, licensed in New Jersey (44SL06845000) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1932929502
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISSIA FORTYCredential: LSW
Location Address4551 ROUTE 42 STE 5Blackwood, NJ 08012-1751
Mailing Address455 Penn BlvdWoodbury, NJ 08096-2821 · (856) 271-4490
Sole ProprietorNo
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1932929502 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 NJ · 44SL06845000
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.
4551 ROUTE 42 STE 5, Blackwood, NJ 08012

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.

Marriage & Family Therapist
4551 ROUTE 42 STE 5
BLACKWOOD, NJ 08012
Counselor (Mental Health)
4551 ROUTE 42 STE 5
BLACKWOOD, NJ 08012

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 Elissia Forty's NPI number?

The NPI number for Elissia Forty is 1932929502. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Elissia Forty located?

Elissia Forty practices at 4551 Route 42 Ste 5, Blackwood, NJ 08012. The listed phone number is (856) 271-4490.

What is Elissia Forty'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 Elissia Forty was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.