Jill Deborah Forbes, LCSW, QCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

24148 Issued in CA

Practice address

1688 N Perris Blvd
Suite L6-11
Perris, CA 92571-4709

Phone

(951) 443-2210

NPI assigned

Dec 6, 2006

Last updated

Apr 15, 2014By the provider in NPPES

Sex

Female

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Riverside

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1023122967
  Medicare reassignment NPD
• County of Riverside

  dba Older Adults-West

  • Community/Behavioral Health Agency
  • Riverside, CA
  • NPI 1285890442
  NPD
• County of Riverside

  • Clinical Medical Laboratory
  • Riverside, CA
  • NPI 1952496010
  NPD
• Redwood Counseling a Licensed Clinical Social Worker Professional Corp

  • Mental Health Counselor
  • Hemet, CA
  • NPI 1710441993
  NPD (past)
• Riverside County Mental Health Dept.

  dba Perris Family Room Clinic

  • Mental Health Counselor
  • Perris, CA
  • NPI 1700328929
  NPD (past)
• Riverside Unversity Behavioral Health

  • Adult Mental Health Clinic/Center
  • Perris, CA
  • NPI 1013424522
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1336208529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD",
            "address_2": "SUITE L6-11",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714709",
            "telephone_number": "951-443-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 N PERRIS BLVD",
            "address_2": "SUITE L6-11",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925714709",
            "telephone_number": "951-443-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "JILL",
        "middle_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "LCSW, QCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "24148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Flores
• Mercedes Flores, M.S. CCC-SLP
• Nathalie Marie Flores
• Paulette Flores
• Nimrod Florez II, RDA
• Jeromy Ford, AOD/SUD
• Michele Foreman-Boggus
• Ashley Rollin Frais, PHARMD, MBA
• Alejandra Lizzette Franco
• Araceli Franco

• Clinical Social Worker in Perris, CA
• Providers in Perris, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.