Laura Beth Forseth, LCSW-C – Clinical Social Worker

Key facts

NPI: 1376815431
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 03770 (MD)
Practice address: 3175 W Ward Rd
Dunkirk, MD 20754-3020
Phone: (410) 286-0664
Fax: (410) 286-2834
NPI assigned: Feb 6, 2012
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Andrew T Gergely, MD & Associates, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Dunkirk, MD · NPI 1033134341

Medicare reassignment Care Compare group NPD MD

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 1980
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Andrew T Gergely, MD and Associates, LLC (16 clinicians)

Practice addresses (Care Compare)

3175 W Ward Rd
Suite 200
Dunkirk, MD 20754-3024
Phone (410) 286-0664

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220503001043	MD	Practitioner - Clinical Social Worker	2163819582	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
03770	MD	MD	Psychologist

Practice roles

Organization	Specialty	Status	New patients
Andrew T Gergely, MD & Associates, LLC		Current since Apr 1, 2022	Accepting new patients

Locations

3175 W Ward Rd
Ste 200
Dunkirk, MD 20754
Phone (410) 286-0664

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	03770	MD	Yes

Addresses

Primary practice location

3175 W Ward Rd
Dunkirk, MD 20754-3020

Mailing address

3175 W Ward Rd
Dunkirk, MD 20754-3020
Phone (410) 286-0664

Other providers in Dunkirk, MD

All providers in Dunkirk, MD · Clinical Social Worker in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.