Individual provider Active NPI

Earon Forgnone, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1013490564
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095884 Issued in NY
Practice address
800 Carter St
Rochester, NY 14621-2604
Phone
(585) 340-1400
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084322 NY
Clinical Social Worker 1041C0700X 095884 NY Primary

Addresses

Primary practice location

800 Carter St
Rochester, NY 14621-2604

Mailing address

800 Carter St
Rochester, NY 14621-2604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209000349 DE Practitioner - Clinical Social Worker 7012367956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware PhysiatryGroup PAC ID 0345644357, 13 clinicians

Practice addresses (Care Compare)

1221 College Park Dr
Suite 203
Dover, DE 19904-8727
Phone (302) 387-1407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095884NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Physiatry CurrentSince Sep 12, 2025 Accepting new patients

Locations

1221 College Park Dr
Ste 203
Dover, DE 19904
Phone (302) 387-1407

79 Omega Dr
#C
Newark, DE 19713
Phone (302) 387-1407

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1013490564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARTER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212604",
            "telephone_number": "585-340-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGNONE",
        "first_name": "EARON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.