NPI 1003191438

Michael S Forrest, LCSW

Practitioner Clinical Social Worker Winston Salem, NC

Practice location

Address: 725 N. Highland Ave 2nd Floor, Winston Salem, NC 27101-4206
Phone: (336) 607-8501
Fax: (336) 725-4030
Mailing address: 3210 Fairhill Dr, Raleigh, NC 27612-3215

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence C007384 (NC)

Other Social Worker providers in North Carolina →

Registry record

NPI: 1003191438
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2011
Record last updated: 17 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.