Individual provider · Type 1 NPI

Jason Wayne Forquer, LCSW

Clinical Social Worker · Luke Afb, AZ

NPI number 1912072463 Active

Practice location

7219 N Litchfield Rd
Luke Afb, AZ 85309-1529

Call (623) 856-7579 Map

Fax (623) 856-4433

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-19853 (AZ)

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 1912072463

Jason Wayne Forquer, LCSW's National Provider Identifier is 1912072463, issued on Nov 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Luke Afb, AZ. The record was last updated on Jun 21, 2023.