Individual provider Active NPI

Carol A Forbeck, MSW-LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1972669059
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0002877 Issued in OH
Practice address
10700 Montgomery Rd
Suite 206
Cincinnati, OH 45242-3255
Phone
(513) 489-8898
NPI assigned
Dec 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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 0002877 OH Primary

Addresses

Primary practice location

10700 Montgomery Rd
Suite 206
Cincinnati, OH 45242-3255

Mailing address

3925 Briggs PL
Cincinnati, OH 45209-1905
Phone (513) 631-7955

Other identifiers 1

IdentifierTypeStateIssuer
01274MedicaidOH

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

LicenseStateTypeSpecialty
I 0002877OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Southwestern Ohio Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/ccswoh/r4/

Organizations & group practices 1

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": "1167523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1972669059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 BRIGGS PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091905",
            "telephone_number": "513-631-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD",
            "address_2": "SUITE 206",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452423255",
            "telephone_number": "513-489-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBECK",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "MSW-LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-31",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0002877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.