Active NPI
Kimberly Ann Forsht, LCSW-C
- Clinical Social Worker
- Gaithersburg, MD
National Provider Identifier
1770612145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12520
- Practice address
- 452 Chestnut Hill St
Gaithersburg, MD 20878-2189 - Phone
- (301) 807-7121
- NPI assigned
- Mar 3, 2007
- 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 | 12520 | MD | Primary |
Addresses
Primary practice location
452 Chestnut Hill St
Gaithersburg, MD 20878-2189
Mailing address
452 Chestnut Hill St
Gaithersburg, MD 20878-2189
Phone (301) 807-7121
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1770612145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 CHESTNUT HILL ST",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782189",
"telephone_number": "301-807-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 CHESTNUT HILL ST",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782189",
"telephone_number": "301-807-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSHT",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.