Forgoston, Nicole Stacey
Forgoston, Nicole Stacey is an individual health care provider with primary practice located at 1100 Lake Hearn Drive, Ne Ste'S 250 & 500 Kaiser Permanente Sandy Springs Medical Center, Sandy Springs GA 30342. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Forgoston, Nicole Stacey can be contacted via phone (404) 845-4500.Contact Information
Primary practice address
1100 Lake Hearn Drive, Ne Ste'S 250 & 500 Kaiser Permanente Sandy Springs Medical Center
Sandy Springs GA 30342
Phone: (404) 845-4500
Fax: (212) 584-5450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 081844 | New York |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | CSW005015 | Georgia |
Profile Details
NPI number | 1528360344 |
---|---|
LBN Legal business name | Forgoston, Nicole Stacey |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2010 |
Last updated | Apr 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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