MS. MAUREEN HARRIS FORMAN (NPI# 1023395514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023395514 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN HARRIS FORMAN |
| Credential | LCSW |
| Practice Address |
490 S Farrell Dr Suite C 208 Palm Springs CA 92262-7992 |
| Mailing Address |
73875 Krug Ave Palm Desert CA 92260-9320 |
| Practice Telephone | 7603254088 |
| Practice Fax Number | 7607783781 |
| Mailing Telephone | 7608958610 |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2019-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS14661 | CA | Behavioral Health & Social Service Providers |
| Street Address |
490 S FARRELL DR SUITE C 208 |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92262-7992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598758179 | Jewish Family Service of The Desert | Clinic/Center | 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 | 2005-08-29 |
| 1013458439 | Lauren L. Gutenberg, Dds, Msd, Inc. | Dentist | 490 S Farrell Dr, Ste C-101, Palm Springs, CA 92262-7992 | 2017-03-18 |
| 1043625064 | Jo Ann Wilson | Marriage & Family Therapist | 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 | 2014-06-27 |
| 1508121302 | Timothy Robert Moore | Social Worker | 490 S Farrell Dr, Ste. 202, Palm Springs, CA 92262-7992 | 2012-07-08 |
| 1194087122 | Coachella Valley Home Health, LLC | Home Health | 490 S Farrell Dr, Suite 202, Palm Springs, CA 92262-7992 | 2012-06-14 |
| 1336428275 | Lauren Louise Gutenberg | Dentist | 490 S Farrell Dr, Ste. C-101, Palm Springs, CA 92262-7992 | 2011-08-09 |
| 1669764130 | Dorothy Sue Clemmons | Marriage & Family Therapist | 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 | 2011-05-03 |
| 1760783138 | Judith Lynn Monetathchi | Marriage & Family Therapist | 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 | 2010-11-16 |
| 1336394485 | Vilma Devora Rey | Marriage & Family Therapist | 490 S Farrell Dr, Suite C 208, Palm Springs, CA 92262-7992 | 2008-11-17 |
| 1801936414 | Steven Niethamer | Dentist | 490 S Farrell Dr, Suite C-101, Palm Springs, CA 92262-7992 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815610 | Dhara H Patel | Student in an Organized Health Care Education/Training Program | Gme Office, 1150 N. Palm Canyon Dr., Palm Springs, CA 92262 | 2020-06-08 |
| 1528683380 | Lizmar Cerezo Perez | Student in an Organized Health Care Education/Training Program | Gme Office 1150 N. Palm Canyon Dr. Palm Springs, Ca 922, Palm Springs, CA 92262 | 2020-06-08 |
| 1629637285 | Kimiko Tsuchiya | Family Medicine | 1150 North Palm Canyon Drive, Palm Springs, CA 92262 | 2019-06-07 |
| 1780240978 | Aly Sue Vancil | Counselor | 19531 Mclane St Suite B, Palm Springs, CA 92262 | 2019-05-14 |
| 1013477843 | Dennis Michael Woo | Student in an Organized Health Care Education/Training Program | 555 E. Tachevah Dr, Suite 2e - 204, Palm Springs, CA 92262 | 2019-03-19 |
| 1235609314 | Leslie Nohemi Vargas | Behavior Technician | 130 Golden Sands Dr, Palm Springs, CA 92262 | 2018-11-30 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1326577727 | William Alan Lee | Emergency Medicine | 1150 North Indian Canyon Drive, Palm Springs, CA 92262 | 2017-06-08 |
| Find all providers in zip 92262 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638123 | Vanessa Flora Tomasino | Social Worker | 3001 E Tahquitz Canyon Way Ste 205, Palm Springs, CA 92262-6901 | 2020-01-14 |
| 1285123133 | Thuan Thi Nguyen | Social Worker | 1751 North Sunrise Way Suite G, Palm Springs, CA 92262 | 2018-05-07 |
| 1598268641 | Scotti Barnes Cassidy | Social Worker | 291 E Mel Ave Unit 261, Palm Springs, CA 92262 | 2018-03-15 |
| 1841742467 | Rachael Starr | Social Worker | 1107 Manor Dr, Palm Springs, FL 33461-2954 | 2016-10-31 |
| 1902278187 | Danny N Phillips | Social Worker | 1311 Primavera Dr N, Palm Springs, CA 92264-8450 | 2015-10-27 |
| 1508276056 | Blue Tiger Recovery LLC | Social Worker | 2962 Searchlight Ln, Palm Springs, CA 92264-6827 | 2014-05-06 |
| 1023430667 | Montgomery Ostrander | Social Worker | 495 E Twin Palms Dr, #5, Palm Springs, CA 92264-0533 | 2014-01-16 |
| 1033556428 | Justin Grossmayer | Social Worker | 2459 S Congress Ave Ste 100, Palm Springs, FL 33406-7616 | 2013-05-27 |
| 1295024842 | Xochitl Elena Perez | Social Worker | 333 S Farrell Drive, Palm Springs, CA 92262 | 2011-04-05 |
| 1083916423 | William James Shire | Social Worker | 275 N El Cielo Rd Ste C2, Palm Springs, CA 92262-6972 | 2010-11-17 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 92262 |
Please comment or provide details below to improve the information on MS. MAUREEN HARRIS FORMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.