Individual provider Active NPI

Hillary Joan Forbes, LCSW

  • Clinical Social Worker
  • New Hartford, NY
National Provider Identifier
1972950889
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083476 Issued in NY
Practice address
2050 Tilden Ave
New Hartford, NY 13413-3613
Phone
(315) 737-2337
Fax
(315) 797-6955
NPI assigned
May 20, 2016
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 083476 NY Primary

Addresses

Primary practice location

2050 Tilden Ave
New Hartford, NY 13413-3613

Mailing address

2050 Tilden Ave
PO Box 1000
New Hartford, NY 13413-3613
Phone (315) 737-2337

Other identifiers 2

IdentifierTypeStateIssuer
01815443MedicaidNY
00313539MedicaidNY

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
I20211018002797 NY Practitioner - Clinical Social Worker 7719385095 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083476NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Health, Inc. Current Accepting new patients
Mosaic Health, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Mosaic Health, Inc. CurrentSince Nov 1, 2021 Accepting new patients

Locations

55 Central Plz
Ste B
Ilion, NY 13357
Phone (315) 444-1900

1 S Washington St
Ste 300
Rochester, NY 14614
Phone (585) 325-2280

2 Rubin Dr
Rushville, NY 14544
Phone (585) 554-4400

Organizations & group practices 3

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1972950889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 TILDEN AVE",
            "address_2": "PO BOX 1000",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133613",
            "telephone_number": "315-737-2337",
            "fax_number": "315-797-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 TILDEN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133613",
            "telephone_number": "315-737-2337",
            "fax_number": "315-797-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "HILLARY",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01815443",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313539",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.