Laura Walter Forstat, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801020262 Issued in MI

Practice address

3493 Woods Edge
Okemos, MI 48864-5911

Phone

(517) 333-3737

Fax

(517) 333-3737

NPI assigned

Jan 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mareck Family and Geriatric Services, P.C.

  dba Mareck and Associates

  • Adult Mental Health Clinic/Center
  • Okemos, MI
  • NPI 1073615092

  Clinical

  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1982752176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540043",
            "telephone_number": "517-623-6260",
            "fax_number": "517-623-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 WOODS EDGE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645911",
            "telephone_number": "517-333-3737",
            "fax_number": "517-333-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTAT",
        "first_name": "LAURA",
        "middle_name": "WALTER",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801020262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OC313060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Focal Point Pain Solutions, PLLC
• Erika Evelyn Fogarty, BEHAVIOR TECHNICIAN
• Heidi Foland
• Patricia Calvert Forman, PHD
• Kaidence Forrester
• Korey Forton
• McKayla Foster-Redmond
• Sha'Diamon Dalisha Marie Foster
• Sasha Ann Fournier, LMT
• Beth Fowler, LMSW, CCM

• Clinical Social Worker in Okemos, MI
• Providers in Okemos, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.