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

Mrs. Jodi Ellen Forman, LCSW

Individual provider Clinical Social Worker · NPI 1245396217

Mrs. Jodi Ellen Forman, LCSW is a Clinical Social Worker in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
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

122 Cherry St NE
Marietta, GA 30060-7206
Phone: (404) 272-4261
Fax: (770) 422-2302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2835 (GA)

Record details

NPI number1245396217
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007

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