Active NPI
Brandy Suzanne Forman, LCSW
- Clinical Social Worker
- Ocala, FL
National Provider Identifier
1558039941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11920
- Practice address
- 1012 E Silver Springs Blvd Ste B7&8
Ocala, FL 34470-6781 - Phone
- (352) 405-0789
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW11920 | FL | Primary |
Addresses
Primary practice location
1012 E Silver Springs Blvd Ste B7&8
Ocala, FL 34470-6781
Mailing address
1309 SE 43Rd Ave
Ocala, FL 34471-4944
Phone (352) 843-6222
Other practice location 1
98 NE 9th St
Ocala, FL 34470-6694
Phone (352) 405-0789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW11920 | Other | FL | LICENSED CLINICAL SOCIAL WORKER - LCSW |
Other names 1
- Brandy Suzanne Foreman-Kraft
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brandy@weargloves.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW11920 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659484800000",
"number": "1558039941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 SE 43RD AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344714944",
"telephone_number": "352-843-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 E SILVER SPRINGS BLVD STE B7&8",
"city": "OCALA",
"state": "FL",
"postal_code": "344706781",
"telephone_number": "352-405-0789"
}
],
"practiceLocations": [
{
"address_1": "98 NE 9th St",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344706694",
"country_code": "US",
"telephone_number": "352-405-0789",
"fax_number": "844-444-1046",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORMAN",
"first_name": "BRANDY",
"middle_name": "SUZANNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2022-08-03",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER - LCSW",
"identifier": "SW11920",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brandy@weargloves.org",
"affiliation": "N",
"endpointDescription": "professional email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1012 E Silver Springs Blvd Ste B7&8",
"city": "Ocala",
"state": "FL",
"country_code": "US",
"postal_code": "344706781",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "FOREMAN-KRAFT",
"middle_name": "SUZANNE",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.