Ms Katrina Forman, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hollywood, Florida. Her current practice location is
4302 Hollywood Blvd # 127, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 505-0554.
Ms Katrina Forman is licensed to practice in Florida (license number SW17881) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447538269.
Healthcare Provider's Profile
| Full Name | Ms Katrina Forman |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4302 Hollywood Blvd # 127, Hollywood, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Katrina Forman attended and graduated from in
NPI Data:
- NPI Number: 1447538269
- Provider Enumeration Date: 07/27/2011
- Last Update Date: 04/14/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ms Katrina Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447538269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (Florida) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW17881 (Florida) | 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 Katrina Forman is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Katrina Forman, MSW, LCSW
4302 Hollywood Blvd Ste 127,
Hollywood, FL 33021-6635
Ph: (954) 505-0554 | Ms Katrina Forman, MSW, LCSW
4302 Hollywood Blvd # 127,
Hollywood, FL 33021-6635
Ph: (954) 505-0554 |
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