Individual provider · Type 1 NPI

Kelly Forman, APSW

Clinical Social Worker · Madison, WI

NPI number 1427770270 Active

Practice location

414 Donofrio Dr
Madison, WI 53719-2847

Call (608) 206-6291 Map

Mailing address

2602 Gregory St
Madison, WI 53711-1839

Other practice locations

  • 2901 W Beltline Hwy, Madison, WI 53713-4226 · (608) 535-5236

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X134459-121 (WI)

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 1427770270

Kelly Forman, APSW's National Provider Identifier is 1427770270, issued on Sep 16, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Aug 16, 2023.