Organization Active NPI

Joan McPherson Forest I

  • Clinical Social Worker
  • Oak Harbor, WA
National Provider Identifier
1013495043
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOAN MCPHERSON FOREST I
Practice address
390 NE Midway Blvd Ste B206A
Oak Harbor, WA 98277-2642
Phone
(360) 969-5583
NPI assigned
Aug 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2021

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

Authorized official

Name
Joan Forest, LICSWNPI 1821105214
Title
Owner
Phone
(360) 969-5583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

390 NE Midway Blvd Ste B206A
Oak Harbor, WA 98277-2642

Mailing address

2620 Dreamland LN
Langley, WA 98260-8108
Phone (360) 969-5583

National Provider Directory

National Provider Directory
Tax ID family
Clarity Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

390 NE Midway Blvd
Ste B206A
Oak Harbor, WA 98277
Phone (360) 969-5583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1013495043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 DREAMLAND LN",
            "city": "LANGLEY",
            "state": "WA",
            "postal_code": "982608108",
            "telephone_number": "360-969-5583",
            "fax_number": "360-246-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD STE B206A",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772642",
            "telephone_number": "360-969-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN MCPHERSON FOREST I",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "FOREST",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-969-5583",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.