Warren Clinton Forster, SWA,CDCA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

W.0800006 Issued in OH

Practice address

65 N Lake St
Madison, OH 44057-3113

Phone

(440) 789-8801

Fax

(440) 428-0084

NPI assigned

May 4, 2011

Sex

Male

Sole proprietor

Yes

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, last updated by the provider on May 4, 2011.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1992097240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N LAKE ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573113",
            "telephone_number": "440-789-8801",
            "fax_number": "440-428-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N LAKE ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573113",
            "telephone_number": "440-789-8801",
            "fax_number": "440-428-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSTER",
        "first_name": "WARREN",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "credential": "SWA,CDCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "W.0800006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Madison, OH
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.