Individual
SUSAN FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
270 AMITY RD, SUITE 130, WOODBRIDGE, CT 06525
(203) 397-0064
(203) 397-3537
Mailing address
270 AMITY RD, SUITE 130, WOODBRIDGE, CT 06525
(203) 397-0064
(203) 397-3537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
001232
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11585299
CAQ0H
—
Enumeration date
08/16/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us