Raymond Forrester

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9691695-3501 Issued in UT

Practice address

2416 340TH St
Keokuk, IA 52632

Phone

(319) 524-3560

NPI assigned

Sep 17, 2014

Last updated

Nov 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1184026593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 340TH ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526329539",
            "telephone_number": "319-524-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 340TH ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "52632",
            "telephone_number": "319-524-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "RAYMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9691695-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick J. Ewing, MS
• Sara Fedler
• Nicole Fett, COTA/L
• Tiffany Lynn Finch
• Robin Foehring, RPH
• Courtney Fox
• Kimberly Dawn Fox
• Kathrin Frankenhoff
• Gemini Travel & Shuttle
• Gerald H. Schleier, D.D.S., S.C.

• Clinical Social Worker in Keokuk, IA
• Providers in Keokuk, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.