Sydney Forga

Individual provider Active NPI Clinical Social Worker · Mariposa, CA

NPI 1013661487 · NPPES record last updated Feb 4, 2022

Key facts

NPI
1013661487
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
CSW.09926846 (CO)
Practice address
5362 Lemee LN
Mariposa, CA 95338-9556
Phone
(209) 742-0842
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CSW.09926846COMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW.09926846 CO Yes

Addresses

Primary practice location

5362 Lemee LN
Mariposa, CA 95338-9556

Mailing address

PO Box 1927
Mariposa, CA 95338-1927
Phone (209) 840-3502

Other names

  • Sydney Edwards Other name

Other providers in Mariposa, CA

All providers in Mariposa, CA · Clinical Social Worker in California

Sources for this page

Verify at the official NPI Registry.