Active NPI
Shawn L Forde, LCSW
- Clinical Social Worker
- New Rochelle, NY
National Provider Identifier
1144679267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093068
- Practice address
- 735 Pelham Rd
New Rochelle, NY 10805-1103 - Phone
- (917) 836-8206
- NPI assigned
- Jun 9, 2016
- 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 | 093068 | NY | Primary |
Addresses
Primary practice location
735 Pelham Rd
New Rochelle, NY 10805-1103
Mailing address
735 Pelham Rd
New Rochelle, NY 10805-1103
Phone (917) 836-8206
Other practice location 1
6002 Queens Blvd
Lower Level
Woodside, NY 11377-4973
Phone (917) 836-8206
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 |
|---|---|---|---|
| 093068 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1144679267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 PELHAM RD",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108051103",
"telephone_number": "917-836-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 PELHAM RD",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108051103",
"telephone_number": "917-836-8206"
}
],
"practiceLocations": [
{
"address_1": "6002 Queens Blvd",
"address_2": "Lower Level",
"address_purpose": "LOCATION",
"city": "Woodside",
"state": "NY",
"postal_code": "113774973",
"country_code": "US",
"telephone_number": "917-836-8206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORDE",
"first_name": "SHAWN",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.