Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forest Licensed Clinical Social Work PC

Organization Clinical Social Worker · NPI 1679968861

Forest Licensed Clinical Social Work PC is a Clinical Social Worker in Malta, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2691 State Route 9 # 204
Malta, NY 12020-4319
Phone: (518) 400-1448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R071476-1 (NY)

Record details

NPI number1679968861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenness Clairmont — Provider · (518) 400-1448
NPI enumeratedApril 3, 2015
Last updated in NPPESJune 4, 2021
Certification dateJune 4, 2021
Mailing address2691 State Route 9 # 204, Malta, NY 12020-4319

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