Kirsten Forinash, LMSW

Individual provider Active NPI Clinical Social Worker · Lake View, SC

NPI 1174036693 · NPPES record last updated Jan 5, 2024

Key facts

NPI
1174036693
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
16566 (SC)
Practice address
103 North Kemper St
Lake View, SC 29563
Phone
(843) 627-6252
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caresouth Carolina Inc. (66 clinicians)

Practice addresses (Care Compare)

103 N Kemper St
Lake View, SC 29563-3115
Phone (843) 759-2189

Medicare participation

Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260526001118 SC Practitioner - Clinical Social Worker 1557831104 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
16566SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starting Point of Florence, Inc Past Accepting new patients
Caresouth Carolina, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 16566 SC Yes

Addresses

Primary practice location

103 North Kemper St
Lake View, SC 29563

Mailing address

103 North Kemper St
Lake View, SC 29563
Phone (843) 627-6252

Other providers in Lake View, SC

All providers in Lake View, SC · Clinical Social Worker in South Carolina

Sources for this page

Verify at the official NPI Registry.