DEBORAH FORMAN (NPI# 1730661554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730661554 |
| Entity Type | Individual |
| Full Name | DEBORAH FORMAN |
| Practice Address |
22 Temple St Belmont MA 02478-3545 |
| Practice Telephone | 6174894805 |
| Mailing Telephone | 6174894805 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 113849 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159814 | Deborah Forman | Dietitian, Registered | 23133 Ventura Blvd Ste 103, Woodland Hills, CA 91364-1184 | 2019-05-15 |
| 1962539742 | Deborah Ruth Forman | Nurse Practitioner | 175 Forest St, Waltham, MA 02452-4713 | 2007-02-27 |
| Street Address |
22 TEMPLE ST |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-3545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1033691548 | Veronica Lynn Groom | Social Worker | 19 Winslow Rd Unit 1, Belmont, MA 02478-2262 | 2018-08-30 |
| 1952680431 | Judith L Davila | Social Worker | 400 Harbor Blvd Bldg E, Belmont, CA 94002-4047 | 2011-08-15 |
| 1265607287 | Janet Amdur | Social Worker | 19 Moore St, Belmont, MA 02418 | 2008-04-30 |
| 1154936490 | Remy Sky Leutwyler | Social Worker | 115 Mill St, Belmont, MA 02478-1064 | 2020-09-14 |
| 1902372279 | Sophie L Kwass | Social Worker | 115 Mill St., Belmont, MA 02478 | 2018-10-15 |
| 1295217552 | Nina Bernard | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2018-09-04 |
| 1609316124 | Alexandra Wells | Social Worker | 115 Mill St, Belmont, MA 02478-1048 | 2017-03-02 |
| Find all providers in BELMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.