NPI 1013169275

Jeri Ann Forrest, LCSW

Practitioner Clinical Social Worker Fort Wayne, IN

Practice location

Address: 1818 Carew St Suite 230, Fort Wayne, IN 46805-4788
Phone: (260) 373-8000
Fax: (260) 373-8003
Mailing address: 2020 River Run Trl APT. D, Fort Wayne, IN 46825-6080

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34005624A (IN)

Other Social Worker providers in Indiana →

Registry record

NPI: 1013169275
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2008
Record last updated: 28 Jul 2015

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.