Ms Marjorie Forman, LCSW LP is a
Psychoanalyst based in New York, New York. Ms Marjorie Forman is licensed to practice in New York (license number 000232-1) and her current practice location is
150 E 39th St, Suite 808, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(212) 779-0462.
NPI number for Ms Marjorie Forman is 1790865301 and her current mailing address is 150 E 39th St, Suite 808, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790865301.
Healthcare Provider's Profile
| Full Name | Ms Marjorie Forman |
|---|
| Gender | Female |
|---|
| Speciality | Psychoanalyst |
|---|
| Location | 150 E 39th St, New York, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790865301
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Ms Marjorie Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790865301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | R021152 (New York) | Secondary |
| 102L00000X | Psychoanalyst | 000232-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Marjorie Forman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Marjorie Forman, LCSW LP
150 E 39th St, Suite 808,
New York, NY 10016-0933
Ph: (212) 779-0462 | Ms Marjorie Forman, LCSW LP
150 E 39th St, Suite 808,
New York, NY 10016-0933
Ph: (212) 779-0462 |
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