Ms Kelly Ann Forman, LSW - Clinical Social Worker in Columbus, OH

Ms Kelly Ann Forman, LSW is a Social Worker - Clinical based in Columbus, Ohio. Ms Kelly Ann Forman is licensed to practice in Ohio (license number S.1200417) and her current practice location is 691 N High St, Suite 303, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at (614) 407-4033.

NPI number for Ms Kelly Ann Forman is 1568895480 and her current mailing address is Po Box 73, Sunbury, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568895480.

Contact Information

Ms Kelly Ann Forman, LSW
691 N High St, Suite 303,
Columbus, OH 43215-1583
(614) 407-4033
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Kelly Ann Forman
GenderFemale
SpecialitySocial Worker - Clinical
Location691 N High St, Columbus, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568895480
  • Provider Enumeration Date: 08/14/2013
  • Last Update Date: 08/14/2013

Medical Identifiers

Medical identifiers for Ms Kelly Ann Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568895480NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical S.1200417 (Ohio)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. Ms Kelly Ann Forman 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 AddressPractice Location Address
Ms Kelly Ann Forman, LSW
Po Box 73,
Sunbury, OH 43074-0073

Ph: (614) 407-4033
Ms Kelly Ann Forman, LSW
691 N High St, Suite 303,
Columbus, OH 43215-1583

Ph: (614) 407-4033

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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