National Provider Identifier
Jennifer Leigh Forte, LCSW
Jennifer Leigh Forte, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (516) 474-2918.
Profile Overview
- NPI
- 1114280625
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 19, 2012
- Last Updated
- February 08, 2021
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (516) 474-2918
Mailing Address
- 138 Bundy RD
- Ithaca, NY 14850-9252
Specialties
- Clinical Social Worker (1041C0700X)
- Specialist (174400000X)
Full Record
- NPI
- 1114280625
- Entity Type
- Individual
- Last Name
- Forte
- First Name
- Jennifer
- Middle Name
- Leigh
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- 138 Bundy RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-9252
- Mailing Country
- US
- Mailing Phone
- (516) 474-2918
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (516) 474-2918
- Enumeration Date
- June 19, 2012
- Last Updated
- February 08, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 08, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Specialist (174400000X)