Active NPI
Latasha Forbes, LCSW, CASAC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1053556381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 078723
- Practice address
- 1250 Broadway FL 7
New York, NY 10001-3749 - Phone
- (212) 609-9640
- NPI assigned
- Dec 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 078723 | NY | Primary |
Addresses
Primary practice location
1250 Broadway FL 7
New York, NY 10001-3749
Mailing address
24 Lawton St Apt 1C
Brooklyn, NY 11221-2597
Phone (347) 331-6984
Other practice location 1
24 Lawton St Apt 1C
Brooklyn, NY 11221-2597
Phone (347) 331-6984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impactful Counseling and Consulting | Clinical | Past | Accepting new patients |
| Vibe Therapy, LCSW PLLC | Clinical | Past | Accepting new patients |
| Visiting Nurse Service of New York Hospice Care | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1023633641
-
- Clinical Social Worker
- New York, NY
- NPI 1285390294
-
- Community Based Hospice Care Agency
- New York, NY
- NPI 1215928510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1053556381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LAWTON ST APT 1C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112212597",
"telephone_number": "347-331-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BROADWAY FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013749",
"telephone_number": "212-609-9640"
}
],
"practiceLocations": [
{
"address_1": "24 Lawton St Apt 1C",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112212597",
"country_code": "US",
"telephone_number": "347-331-6984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORBES",
"first_name": "LATASHA",
"credential": "LCSW, CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.