Individual
MRS. PAMELA H FORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2319 EDISON RD, SOUTH BEND, IN 46615-3515
(574) 233-4183
(574) 273-1229
Mailing address
52305 OAK RUN DR, GRANGER, IN 46530-7411
(574) 233-4183
(574) 273-1229
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
34003949A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212216
ANTHEM
IN
Enumeration date
03/21/2007
Last updated
09/11/2025
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