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

Individual provider Clinical Social Worker · NPI 1649726951

Kristine Fornaby, LCSW is a Clinical Social Worker in Guilford, Connecticut. Qualified in 2011, 15 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2016
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

35 Boston St
Guilford, CT 06437-2817
Phone: (914) 329-8964
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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 009371 (CT)

Record details

NPI number1649726951
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 27, 2016
Last updated in NPPESJanuary 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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