Active NPI
Kathleen Cleary Forrest
- Social Worker
- Atlanta, GA
National Provider Identifier
1972124584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CSW009092
- Practice address
- 1820 The Exchange SE Ste 750
Atlanta, GA 30339-2088 - Phone
- (828) 668-2180
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CSW009092 | GA | Primary |
Addresses
Primary practice location
1820 The Exchange SE Ste 750
Atlanta, GA 30339-2088
Mailing address
1165 McDaniel St SW
Atlanta, GA 30310-3655
Phone (847) 271-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW009092 | Other | GA | PROFESSIONAL LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW009092 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1972124584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 MCDANIEL ST SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303103655",
"telephone_number": "847-271-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 THE EXCHANGE SE STE 750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392088",
"telephone_number": "828-668-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "KATHLEEN",
"middle_name": "CLEARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "CSW009092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "CSW009092",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.