Elissa Forman, LICSW
Clinical Social Worker · Florence, MA
Elissa Forman, LICSW is a clinical social worker with a practice address in Florence, Massachusetts, and NPI 1578532438, issued on Mar 14, 2006. Check the license (Massachusetts 1031672, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Elissa Forman
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 1031672 MA
Self-reported in NPPES; status is on the state search - Practice location
- 70 Main St, Florence, MA 01062
- Phone
- (413) 586-8400
- Enumerated
- Mar 14, 2006
- Record last updated
- Dec 11, 2023
- Fax
- (866) 644-0872
- Medicare enrollment
- Enrolled (PECOS I20040110000058); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 17,815 in Massachusetts → Look up another NPI →
Also registered at 70 Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Casey BartlettPhysician Assistant1568175693
- Anne Bauer, M.D.Psychiatry Physician1578692455
- Karen Beyel, RPHPharmacist1518249523
- Gail Blanchard, NPFamily Nurse Practitioner1841384666
- Yotam Block, PA-CPhysician Assistant1861145930
- Brendan Boucher, DPT, PT, CSCSPhysical Therapist1871936211
Verify Elissa Forman in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license 1031672Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Valley Medical Group PCFlorence, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Elissa Forman among 17,815 clinical social worker records in Massachusetts
Elissa Forman, LICSW is one of 17,815 clinical social worker records with a practice address in Massachusetts. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 85% newer
- In a Medicare fileYes · 8% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated1996 · median 2004 among the 3,059 with a school on file
- Record last updated2023 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
63 clinical social worker records list a practice address in Florence
They are 63 of the 313 NPPES records with a practice address in Florence, and 17,815 clinical social worker records in Massachusetts.
All 17,815 in Massachusetts → Every provider in Florence → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Douglas Arey, L.I.C.S.W.Florence, MA 010621124161823
- Marisa Brown, MSW, LICSWFlorence, MA 010621902834013
- Robert Chabot, LICSWFlorence, MA 010621215003983
- Barbara Davis, LICSWFlorence, MA 010621104916436
- Louisa Hall, LICSWFlorence, MA 010621750344511
- Robert Hincks, LICSWFlorence, MA 010621023087111
- Mary Lutkus, LICSWFlorence, MA 010621013074202
- Adele Marcus, LICSW, LCSWFlorence, MA 010621891842183
Common questions
What is Elissa Forman, LICSW's NPI number?
Elissa Forman, LICSW's National Provider Identifier (NPI) is 1578532438, issued on Mar 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Elissa Forman, LICSW located?
The NPPES record lists a practice address at 70 Main St, Florence, MA, 01062. Phone: (413) 586-8400. Providers update this record themselves, so call before visiting.
How can I verify Elissa Forman, LICSW's license?
NPPES lists Massachusetts license number 1031672, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.