Mary Ann Forster, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC043365 Issued in NJ

Legal business name

MARY ANN FORSTER, LCSW, LLC

Practice address

101 Park St
Suite 1
Montclair, NJ 07042-2963

Phone

(201) 503-4943

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann Forster, LCSWNPI 1013078658

Title

Owner

Phone

(201) 503-4943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Ann Forster, L.C.S.W.

  • Mental Health Counselor
  • Montclair, NJ
  • NPI 1013078658
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1689021818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARNOT PL",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751426",
            "telephone_number": "201-503-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PARK ST",
            "address_2": "SUITE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422963",
            "telephone_number": "201-503-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN FORSTER, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-503-4943",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC043365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Marotta, LAC
• Yasmeen Zina Marshall, LAC
• Kimberly Daianna Martin, LAC
• Colleen Daly Martinez, LCSW, RPT-S
• Richard Martinez, M.D.
• Mary Cullen-Drill Apn LLC
• Marykate Horrigan, LLC
• Rachel Francine Maslow, DPM
• Sharon E Mason-Bell, M.D.
• Mary Massaro, MS, NCPSYA

• Clinical Social Worker in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.