Forman, Elissa

Forman, Elissa is an individual health care provider with primary practice located at 70 Main St , Florence MA 01062-1466. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Forman, Elissa can be contacted via phone (413) 586-8400.

Contact Information

Primary practice address
70 Main St Florence MA 01062-1466
Phone: (413) 586-8400
Fax: (866) 644-0872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1031672 Massachusetts

Profile Details

NPI number 1578532438
LBN Legal business name Forman, Elissa
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 11th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1578532438 NPPES
Massachusetts Other 3172516 CIGNA BEHAVIORAL HEALTH
Massachusetts Other 33214 CIGNA BEHAVIORAL HEALTH
Massachusetts Other 593372000 CIGNA BEHAVIORAL HEALTH
Massachusetts Other 102517 CIGNA BEHAVIORAL HEALTH
Massachusetts Other P07575 CIGNA BEHAVIORAL HEALTH
Massachusetts Other 468597 CIGNA BEHAVIORAL HEALTH

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