Organization Active NPI

Healing Forward, LLC

  • Clinical Social Worker
  • Perry Hall, MD
National Provider Identifier
1205740479
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HEALING FORWARD, LLC
Practice address
9323 Kilbride CT
Perry Hall, MD 21128-9329
Phone
(410) 698-5607
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Channell Fortt, LCSW-C
Title
Mental Health Therapist
Phone
(410) 698-5607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9323 Kilbride CT
Perry Hall, MD 21128-9329

Mailing address

9323 Kilbride CT
Perry Hall, MD 21128-9329

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1205740479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9323 KILBRIDE CT",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9323 KILBRIDE CT",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289329",
            "telephone_number": "410-698-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING FORWARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "FORTT",
        "authorized_official_first_name": "CHANNELL",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "410-698-5607",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.