Provider Demographics
NPI:1366807463
Name:FORTE, EMILY T (LCSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:T
Last Name:FORTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 PLEASANT PT
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-8023
Mailing Address - Country:US
Mailing Address - Phone:470-525-0155
Mailing Address - Fax:
Practice Address - Street 1:240 PLEASANT PT
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-8023
Practice Address - Country:US
Practice Address - Phone:470-525-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical