Active NPI
Suzanne V. Forgione, M.S.W. L.I.C.S.W.
- Clinical Social Worker
- Salem, MA
National Provider Identifier
1093986606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105161
- Practice address
- 45 Leach St
Salem, MA 01970-4712 - Phone
- (978) 594-5301
- NPI assigned
- Mar 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 105161 | MA | Primary |
Addresses
Primary practice location
45 Leach St
Salem, MA 01970-4712
Mailing address
45 Leach St
Salem, MA 01970-4712
Phone (978) 594-5301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105161 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206144000000",
"number": "1093986606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 LEACH ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704712",
"telephone_number": "978-594-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LEACH ST",
"city": "SALEM",
"state": "MA",
"postal_code": "019704712",
"telephone_number": "978-594-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORGIONE",
"first_name": "SUZANNE",
"middle_name": "V.",
"name_prefix": "Ms.",
"credential": "M.S.W. L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-22",
"last_updated": "2008-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.