Individual provider Active NPI

Erica S Forrest, LICSW

  • Clinical Social Worker
  • North Adams, MA
National Provider Identifier
1265731301
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
100515 Issued in MA
Practice address
1312 Mass Moca Way
North Adams, MA 01247-2453
Phone
(413) 398-2929
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 100515 MA Primary

Addresses

Primary practice location

1312 Mass Moca Way
North Adams, MA 01247-2453

Mailing address

1312 Mass Moca Way
North Adams, MA 01247-2453
Phone (413) 398-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250804002373 MA Practitioner - Clinical Social Worker 3577071224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100515MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Healing LLC Clinical CurrentSince May 29, 2022 Accepting new patients
Optimal Healing LLC CurrentSince May 29, 2025 Accepting new patients
Howland Psychiatry/Psychotherapy Associates Past Accepting new patients

Locations

184 E Main St
North Adams, MA 01247
Phone (413) 346-4505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1265731301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 MASS MOCA WAY",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472453",
            "telephone_number": "413-398-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 MASS MOCA WAY",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472453",
            "telephone_number": "413-398-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "ERICA",
        "middle_name": "S",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "100515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.