Individual provider Active NPI

Dorothy Anne Forbes, LCSW

  • Clinical Social Worker
  • Taos, NM
National Provider Identifier
1992992036
Registry record updated Apr 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C-08637 Issued in NM
Practice address
217 Paseo del Pueblo Norte Ste E
Taos, NM 87571-5963
Phone
(575) 825-3522
NPI assigned
Oct 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-08637 NM
Clinical Social Worker 1041C0700X C-08637 NM Primary

Addresses

Primary practice location

217 Paseo del Pueblo Norte Ste E
Taos, NM 87571-5963

Mailing address

616 Fernandez Rd
Taos, NM 87571-6531
Phone (575) 779-6786

Other practice location 1

616 Fernandez Rd
Taos, NM 87571-6531
Phone (575) 779-6786

Other practice location 2

168 Blueberry Hill Rd
El Prado, NM 87529-7402
Phone (575) 825-3522

Other names 1

  • Dorothy Anne Sack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20221212003016 NM Practitioner - Clinical Social Worker 7012383854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1704 Llano St
Suite B 1256
Santa Fe, NM 87505-5415
Phone (575) 825-3522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-08637NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Belong Counseling and Consulting, LLC Clinical CurrentSince Oct 1, 2022 Accepting new patients

Locations

1704 Llano St
Ste B1256
Santa Fe, NM 87505
Phone (214) 886-1212

1335 Gusdorf Rd
Ste G
Taos, NM 87571
Phone (575) 825-3522

217 Paseo del Pueblo Norte
Ste E
Taos, NM 87571
Phone (575) 825-3522

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682121600000",
    "number": "1992992036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 FERNANDEZ RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716531",
            "telephone_number": "575-779-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PASEO DEL PUEBLO NORTE STE E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715963",
            "telephone_number": "575-825-3522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Fernandez Rd",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875716531",
            "country_code": "US",
            "telephone_number": "575-779-6786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 Blueberry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "El Prado",
            "state": "NM",
            "postal_code": "875297402",
            "country_code": "US",
            "telephone_number": "575-825-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORBES",
        "first_name": "DOROTHY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2023-04-22",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-08637",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "SACK",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.