Pamela H Forsey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003949A Issued in IN

Practice address

2319 Edison Rd
South Bend, IN 46615-3515

Phone

(574) 233-4183

Fax

(574) 273-1229

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972629327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52305 OAK RUN DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465307411",
            "telephone_number": "574-233-4183",
            "fax_number": "574-273-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 EDISON RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153515",
            "telephone_number": "574-233-4183",
            "fax_number": "574-273-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSEY",
        "first_name": "PAMELA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003949A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000212216",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derrick Forchetti, M.D.
• Garrett Ford
• Juilann Marie Ford, M.A., CCCSLP
• Ryan Ford, FNP-BC
• Kimberly Haugen Forehand, OTR
• Sidni Foss, MSW
• Foster Homecare of Northern Indiana LLC
• Dakota Skyye Foster
• Denicka Foster
• Katie Foster, LCSW

• All providers in South Bend, IN
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.