Jeanine P Forrester, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090132 Issued in NY

Practice address

80 State Hwy 310
Suite 1
Canton, NY 13617

Phone

(315) 386-2167

Fax

(315) 386-2435

NPI assigned

May 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanine Howard Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Helpers Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ogdensburg, NY
  • NPI 1932938479
  Medicare reassignment NPD
• United Helpers Care Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Ogdensburg, NY
  • NPI 1578559159
  NPD
• United Helpers Care Inc

  • Medical Physician Assistant
  • Ogdensburg, NY
  • NPI 1740167535
  NPD
• St Lawrence County

  • Community/Behavioral Health Agency
  • Canton, NY
  • NPI 1699898635

  Social Worker

  NPD (past)
• St Lawrence County

  dba St Lawrence County Public Health - Clinic

  • Multi-Specialty Clinic/Center
  • Canton, NY
  • NPI 1861551822
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1851779722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 STATE HWY 310",
            "address_2": "SUITE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-2167",
            "fax_number": "315-386-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STATE HWY 310",
            "address_2": "SUITE 1",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "13617",
            "telephone_number": "315-386-2167",
            "fax_number": "315-386-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "JEANINE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "HOWARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deanna M Errico, PT, ATC
• Rexford W Evans, PA
• Jaclyn A Farrington, FNP
• Jordan Robert Fenton, FNP-C
• Catherine Field, RN
• Brianna Foster
• Elizabeth Foster
• Deborah Fountain, RN
• Bryan Francey, D.D.S.
• Courtney Leigh Frank

• Clinical Social Worker in Canton, NY
• Providers in Canton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.