Individual provider · Type 1 NPI

Khaalida Tahira Forbes, LICSW, PhD

Clinical Social Worker · Decatur, GA

NPI number 1265710743 Active

Practice location

4650 Flat Shoals Pkwy
Decatur, GA 30034-5000

Fax (404) 212-1265

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X16810 (MD)
Clinical Social Worker Primary 1041C0700XCSW005158 (GA)
Clinical Social Worker 1041C0700XLC50078804 (DC)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1265710743

Khaalida Tahira Forbes, LICSW, PhD's National Provider Identifier is 1265710743, issued on Aug 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on Sep 23, 2014.