Active NPI
Sindy Forman, MSW
- Clinical Social Worker
- Nanuet, NY
National Provider Identifier
1831242833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PRO24672-1
- Practice address
- 259 North Middletown Road
Nanuet, NY 10954 - Phone
- (845) 304-9802
- Fax
- (845) 634-4340
- NPI assigned
- Jan 21, 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 | PRO24672-1 | NY | Primary |
Addresses
Primary practice location
259 North Middletown Road
Nanuet, NY 10954
Mailing address
5 Britta Lane
New City, NY 10956
Phone (845) 304-9802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024672 | NY | MD | School Psychologist |
| PRO24672-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1831242833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BRITTA LANE",
"city": "NEW CITY",
"state": "NY",
"postal_code": "10956",
"telephone_number": "845-304-9802",
"fax_number": "845-634-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 NORTH MIDDLETOWN ROAD",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "845-304-9802",
"fax_number": "845-634-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMAN",
"first_name": "SINDY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-21",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PRO24672-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.