Organization Active NPI

Diane Forse, LCSW, PLLC

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1679116636
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIANE FORSE, LCSW, PLLC
Practice address
14 S Auburn Ave
Richmond, VA 23221-2910
Phone
(757) 603-3997
NPI assigned
Oct 23, 2019
Last updated
Oct 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DIANE FORSE, LCSW, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Diane M Forse, LCSWNPI 1144536343
Title
Owner/Provider
Phone
(757) 603-3997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Adult Mental Health Clinic/Center 261QM0850X
Point of Service 305S00000X

Addresses

Primary practice location

14 S Auburn Ave
Richmond, VA 23221-2910

Mailing address

6268 Chelsea Cres
Williamsburg, VA 23188-1787

Other practice location 1

1769 Jamestown Rd Ste 203
Williamsburg, VA 23185-2307
Phone (757) 603-3997

National Provider Directory

National Provider Directory
Part of
Diane Forse LCSW PLLC

Locations

14 S Auburn Ave
Richmond, VA 23221
Phone (757) 603-3997

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1679116636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 CHELSEA CRES",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S AUBURN AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212910",
            "telephone_number": "757-603-3997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1769 Jamestown Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852307",
            "country_code": "US",
            "telephone_number": "757-603-3997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIANE FORSE, LCSW, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIANE FORSE, LCSW, PLLC",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "FORSE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "757-603-3997",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.