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

Jason Wayne Forquer, LCSW

Individual provider Clinical Social Worker · NPI 1912072463

Jason Wayne Forquer, LCSW is a Clinical Social Worker in Luke AFB, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
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

7219 N Litchfield Rd
Luke AFB, AZ 85309-1529
Phone: (623) 856-7579
Fax: (623) 856-4433
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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 LCSW-19853 (AZ)

Record details

NPI number1912072463
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 21, 2006
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023
Mailing address7219 N Litchfield Rd, Luke Afb, AZ 85309-1529

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