Shakirah Forde, LCSW is a
Social Worker - Clinical based in Norcross, Georgia. Shakirah Forde is licensed to practice in Georgia (license number CSW006433) and her current practice location is
1770 Indian Trail Lilburn Rd Ste 120, Norcross, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 888-5904.
NPI number for Shakirah Forde is 1821347154 and her current mailing address is 538 Country Lake Dr, Mcdonough, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821347154.
Healthcare Provider's Profile
| Full Name | Shakirah Forde |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821347154
- Provider Enumeration Date: 08/31/2012
- Last Update Date: 11/21/2019
Medical Identifiers
Medical identifiers for Shakirah Forde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821347154 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | CSW006433 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW006433 (Georgia) | 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. Shakirah Forde 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 |
Shakirah Forde, LCSW 538 Country Lake Dr, Mcdonough, GA 30252-2683 Ph: (347) 634-0077 | Shakirah Forde, LCSW 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 Ph: (678) 888-5904 |
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