Individual provider Active NPI

Marina Forkosh, LISW

  • Clinical Social Worker
  • Solon, OH
National Provider Identifier
1912006701
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 0006070 Issued in OH
Practice address
30575 Bainbridge Rd Ste 130
Solon, OH 44139-2200
Phone
(440) 954-4238
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 I. 0006070 OH Primary

Addresses

Primary practice location

30575 Bainbridge Rd Ste 130
Solon, OH 44139-2200

Mailing address

30575 Bainbridge Rd Ste 130
Solon, OH 44139-2200
Phone (440) 954-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041209000621 OH Practitioner - Clinical Social Worker 0143286286 Reassigns benefits to 1 organization
Practice locations: Solon, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affiliates in Behavioral Health, LLCGroup PAC ID 0547257107, 13 clinicians

Practice addresses (Care Compare)

6133 Rockside Rd
Suite 402
Independence, OH 44131-2244
Phone (216) 520-5969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I. 0006070OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Behavioral Health, LLC CurrentSince Oct 4, 2006 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical Past Accepting new patients

Locations

6133 Rockside Rd
Ste 207
Independence, OH 44131
Phone (216) 382-2929

6133 Rockside Rd
Ste 402
Independence, OH 44131
Phone (216) 520-5969

Organizations & group practices 2

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1912006701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 130",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392200",
            "telephone_number": "440-954-4238",
            "fax_number": "440-914-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30575 BAINBRIDGE RD STE 130",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392200",
            "telephone_number": "440-954-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKOSH",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0006070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

Verify at the official NPI Registry.