Kaitlin S Forman, LCSW | |
1905 Blake Ave Ste 101, Glenwood Springs, CO 81601-4206 | |
(970) 945-2840 | |
Not Available |
Full Name | Kaitlin S Forman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1905 Blake Ave Ste 101, Glenwood Springs, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487088423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW.09925563 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Family Health Centers | 3173413101 | 21 |
Entity Name | Denver Health And Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477569838 PECOS PAC ID: 4688583578 Enrollment ID: O20031105000211 |
Entity Name | Mountain Family Health Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477552388 PECOS PAC ID: 3173413101 Enrollment ID: O20040316000175 |
Mailing Address | Practice Location Address |
---|---|
Kaitlin S Forman, LCSW 4117 Quitman St, Denver, CO 80212-2127 Ph: () - | Kaitlin S Forman, LCSW 1905 Blake Ave Ste 101, Glenwood Springs, CO 81601-4206 Ph: (970) 945-2840 |
Edward C Parenti, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6916 Highway 82, Glenwood Springs, CO 81601 Phone: 970-945-2583 Fax: 970-928-8852 | |
Susan M Ackerman, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6916 Highway 82, Glenwood Springs, CO 81601 Phone: 970-945-2583 Fax: 970-928-8852 | |
John Lutgring, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1906 Blake Ave, Glenwood Springs, CO 81601 Phone: 970-945-6535 | |
Cheri Barger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 818 Grand Ave, Ste C, Glenwood Springs, CO 81601 Phone: 970-319-4013 | |
Janet Earley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6916 Highway 82, Glenwood Springs, CO 81601 Phone: 970-945-2583 Fax: 970-928-8852 | |
Roland E Ross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 817 Colorado Ave, Suite106, Glenwood Springs, CO 81601 Phone: 970-987-9879 Fax: 970-384-2938 | |
Susan M Farrell, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6916 Highway 82, Glenwood Springs, CO 81601 Phone: 970-945-2583 Fax: 970-928-8852 |