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

Individual provider Clinical Social Worker · NPI 1760264956

Khadijah A Forman is a Clinical Social Worker in Paramus, New Jersey. Qualified in 2022, 4 years ago. Practices with Care Plus Nj Inc, a 52-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

610 Valley Health Plz
Paramus, NJ 07652-3607
Phone: (201) 265-8200
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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 44SC06646800 (NJ)

Record details

NPI number1760264956
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 20, 2023
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026
Mailing address610 Valley Health Plz, Paramus, NJ 07652-3607

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Care Plus Nj Inc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Paramus