Individual provider Active NPI

Veronica J Forbes, LCSW

  • Social Worker
  • San Francisco, CA
National Provider Identifier
1992085914
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
70029 Issued in CA
Practice address
972 Mission Street 3Rd Floor
Behavioral Health Department
San Francisco, CA 94103-0929
Phone
(415) 508-8047
NPI assigned
Aug 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 34040 CA
Clinical Social Worker 1041C0700X 70029 CA
Social Worker 104100000X 70029 CA Primary

Addresses

Primary practice location

972 Mission Street 3Rd Floor
Behavioral Health Department
San Francisco, CA 94103-0929

Mailing address

972 Mission Street 3Rd Floor
Behavioral Health Department
San Francisco, CA 94103-0929
Phone (415) 508-8047

Other practice location 1

3554 Round Barn Blvd
Santa Rosa, CA 95403-0929
Phone (415) 997-8401

Other names 1

  • Ronnie Jean Master Forbes Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34040CAMDSocial Worker
70029CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1992085914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 MISSION STREET 3RD FLOOR",
            "address_2": "BEHAVIORAL HEALTH DEPARTMENT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941030929",
            "telephone_number": "415-508-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 MISSION STREET 3RD FLOOR",
            "address_2": "BEHAVIORAL HEALTH DEPARTMENT",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941030929",
            "telephone_number": "415-508-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3554 Round Barn Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954030929",
            "country_code": "US",
            "telephone_number": "415-997-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "VERONICA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "34040",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70029",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "70029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "FORBES",
            "middle_name": "JEAN MASTER",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.