Individual provider Active NPI

Rachel Forbes, LCSW

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1376056523
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10016 Issued in CT
Practice address
625 Central Ave Ste 1
New Haven, CT 06515-2168
Phone
(203) 641-0020
NPI assigned
Nov 9, 2017
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 10016 CT Primary

Addresses

Primary practice location

625 Central Ave Ste 1
New Haven, CT 06515-2168

Mailing address

21 Apple Tree LN
Woodbridge, CT 06525-1208
Phone (203) 641-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20260501003575 CT Practitioner - Clinical Social Worker 2365910940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 Apple Tree LN
Woodbridge, CT 06525-1208

420 Wahoo Rd
Panama City Beach, FL 32408-7286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10016CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forbes Psychotherapy Practice, LLC Clinical CurrentSince Aug 1, 2021 Accepting new patients

Locations

909 Whalley Ave
#210
New Haven, CT 06515

625 Central Ave
#1
New Haven, CT 06515
Phone (203) 641-0020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1376056523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 APPLE TREE LN",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251208",
            "telephone_number": "203-641-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CENTRAL AVE STE 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152168",
            "telephone_number": "203-641-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.