Alice Katherine Forsyth, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05678400 Issued in NJ

Practice address

73 Park St FL 2
Montclair, NJ 07042-2903

Phone

(973) 255-8206

NPI assigned

Mar 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16546/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1063915098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GREENBROOK DR",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032882",
            "telephone_number": "973-743-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PARK ST FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422903",
            "telephone_number": "973-255-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTH",
        "first_name": "ALICE",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05678400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450239034",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Foodtrition LLC
• Forbes Healing LLC
• Jayne Melissa Forbes, DACM, DIPL. AC
• Samuel G. Forlenza, PH.D.
• Mary Ann Forster, L.C.S.W.
• Franklin Dana Fortunato, MD
• Forward Motion Counseling Services LLC
• Jayne Wendy Foster-Mizraji, D.C.
• Shaquera Fowlkes
• Danielle Melisa Fox, L.C.S.W.

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.