Individual provider Active NPI

Ann Marie Beckley-Forest, LCSW

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1942465042
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 072043 Issued in NY
Practice address
1837 Hertel Ave
Ste 2
Buffalo, NY 14216-3006
Phone
(716) 553-2256
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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 73 072043 NY Primary

Addresses

Primary practice location

1837 Hertel Ave
Ste 2
Buffalo, NY 14216-3006

Mailing address

19 Elam PL
Buffalo, NY 14214-1910
Phone (716) 553-2256

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180321001784 NY Practitioner - Clinical Social Worker 3971865478 Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73 072043NYMDClinical Social Worker
072043NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1942465042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELAM PL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141910",
            "telephone_number": "716-553-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 HERTEL AVE",
            "address_2": "STE 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142163006",
            "telephone_number": "716-553-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLEY-FOREST",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 072043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.