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NPI Code Detail

MEDICARE: MICHELE FORTE EDD, LSW

MEDICARE:   MICHELE  FORTE  EDD, LSW
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
1104100000XSocial WorkerPA SW123505PA

General Provider Information

NPI Number : 1841510435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE FORTE EDD, LSW
Provider Business Mailing Address
First Line : 112 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19102-1512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 449 ALANDELE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-3166
Country : US
Telephone Number : 267-912-4013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2010
Last Update Date : 04/20/2026

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Directions to “ MICHELE FORTE EDD, LSW” Practice Location

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