Individual provider Active NPI

Rosalind Forti, MSW

  • Clinical Social Worker
  • Ludlow, MA
National Provider Identifier
1861576084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
104983 Issued in MA
Practice address
733 Chapin St
Suite 200
Ludlow, MA 01056
Phone
(413) 626-5340
Fax
(413) 547-0290
NPI assigned
Oct 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 104983 MA Primary

Addresses

Primary practice location

733 Chapin St
Suite 200
Ludlow, MA 01056

Mailing address

17 Woodland Cir
Ludlow, MA 01056
Phone (413) 626-5340

Other identifiers 1

IdentifierTypeStateIssuer
P03708OtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20050718000899 MA Practitioner - Clinical Social Worker 7315974755 Practice locations: Ludlow, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

733 Chapin St
Suite 200
Ludlow, MA 01056-1900
Phone (413) 626-5340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104983MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861576084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODLAND CIR",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-626-5340",
            "fax_number": "413-547-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CHAPIN ST",
            "address_2": "SUITE 200",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "01056",
            "telephone_number": "413-626-5340",
            "fax_number": "413-547-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTI",
        "first_name": "ROSALIND",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P03708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludlow, MA

Sources for this page

Verify at the official NPI Registry.