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

Individual provider Clinical Social Worker · NPI 1568489128

Forrest Wilson Seymour, LICSW is a Clinical Social Worker in Keene, New Hampshire. Qualified in 2001, 25 years ago. Practices as a sole proprietor. Licensed in New Hampshire.

Years since qualifying
25
Licensed in
NH
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

103 Roxbury St Ste 207
Keene, NH 03431-8801
Phone: (603) 721-9979
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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 LICSW 1318 (NH)

Record details

NPI number1568489128
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated

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