Individual provider Active NPI

Michael E Forgy, LCSW

  • Clinical Social Worker
  • Aberdeen, SD
National Provider Identifier
1114095866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW1884 Issued in SD
Practice address
628 Circle Dr
Aberdeen, SD 57401-2615
Phone
(605) 225-1010
Fax
(605) 725-8057
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW1884 SD Primary

Addresses

Primary practice location

628 Circle Dr
Aberdeen, SD 57401-2615

Mailing address

628 Circle Dr
Aberdeen, SD 57401-2615
Phone (605) 225-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050328001023 SD Practitioner - Clinical Social Worker 5799680179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scovel Psychological and Counseling Services LTDGroup PAC ID 2961493788, 9 clinicians

Practice addresses (Care Compare)

2902 W Main St
Suite 2
Rapid City, SD 57702-8174
Phone (605) 721-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW1884SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Mental Health & Chemical Dependency Center Current Accepting new patients
Northeastern Mental Health Center Clinical PastSince Nov 16, 1999 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114095866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CIRCLE DR",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012615",
            "telephone_number": "605-225-1010",
            "fax_number": "605-725-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CIRCLE DR",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012615",
            "telephone_number": "605-225-1010",
            "fax_number": "605-725-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGY",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "LCSW1884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.