Individual provider Active NPI

Tojauna La'Trice Jackson-Forbes, MSW, LCSW

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1710180765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8278 Issued in FL
Practice address
1025 S Semoran Blvd
Winter Park, FL 32792-5523
Phone
(321) 263-6994
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SW8278 FL Primary

Addresses

Primary practice location

1025 S Semoran Blvd
Winter Park, FL 32792-5523

Mailing address

97 Spring St
Altamonte Springs, FL 32701-7515
Phone (321) 263-6994

Other names 1

  • Tojauna La'Trice Forbes Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW8278FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
D.I.V.a. Empowerment Group Clinical Current Accepting new patients

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710180765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SPRING ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017515",
            "telephone_number": "321-263-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S SEMORAN BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925523",
            "telephone_number": "321-263-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-FORBES",
        "first_name": "TOJAUNA",
        "middle_name": "LA'TRICE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOJAUNA",
            "last_name": "FORBES",
            "middle_name": "LA'TRICE",
            "credential": "MSW, LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.