| Ms Maureen Harris Forman, LCSW | |
|
490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 | |
| (760) 325-4088 | |
| (760) 778-3781 |
| Full Name | Ms Maureen Harris Forman |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 38 Years |
| Location | 490 S Farrell Dr, Palm Springs, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023395514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS14661 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jewish Family Service Of The Desert | 3870532997 | 5 |
| Entity Name | Jewish Family Service Of The Desert |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598758179 PECOS PAC ID: 3870532997 Enrollment ID: O20050428000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maureen Harris Forman, LCSW 73875 Krug Ave, Palm Desert, CA 92260-9320 Ph: (760) 895-8610 | Ms Maureen Harris Forman, LCSW 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 Ph: (760) 325-4088 |
Mr. Christopher John Hanlon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 191 N Sunrise Way, Palm Springs, CA 92262 Phone: 760-778-2210 | |
Montgomery Ostrander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 495 E Twin Palms Dr, #5, Palm Springs, CA 92264 Phone: 323-420-7840 | |
Deserry Salgado, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 N Palm Canyon Dr Ste A4, Palm Springs, CA 92262 Phone: 760-424-5602 | |
John Scott Hawkins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 N El Cielo Rd Ste C300, Palm Springs, CA 92262 Phone: 760-674-3344 | |
Deborah Jane Townson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 N El Cielo Rd Ste C2, Palm Springs, CA 92262 Phone: 760-328-4499 Fax: 760-328-1050 | |
Katy Brianna Michaels, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2825 E Tahquitz Canyon Way Ste B202, Palm Springs, CA 92262 Phone: 760-883-9097 |