MEDICARE: ELIZABETH ANNE FORBES LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	34011140A	IN

General Provider Information

NPI Number	:	1336617653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE FORBES LCSW

Provider Business Mailing Address
First Line	:	450 JACKSON ST 2352
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-1002
Country	:	US
Telephone Number	:	812-341-0109
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 JACKSON ST 2352
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-1002
Country	:	US
Telephone Number	:	812-341-0109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2018
Last Update Date	:	08/15/2024

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Directions to “ ELIZABETH ANNE FORBES LCSW” Practice Location

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