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

Individual provider Clinical Social Worker · NPI 1164247847

Illese Forgang, LCSW is a Clinical Social Worker in Norwalk, Connecticut. Qualified in 1982, 44 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
44
Licensed in
CT
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

100 Seaview Ave Ste 4E
Norwalk, CT 06855-2305
Phone: (203) 293-8215
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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 14501 (CT)

Record details

NPI number1164247847
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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