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

MS. Katrina Forman, MSW, LCSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1447538269

MS. Katrina Forman, MSW, LCSW is a Clinical Social Worker in Hollywood, Florida. Qualified in 2010, 16 years ago. Practices with La Sagrada Familia Medical Center Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2011
Specialties on file
6
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

4302 Hollywood Blvd # 127
Hollywood, FL 33021-6635
Phone: (954) 505-0554
Fax: (954) 505-0554
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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 SW17881 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Analyst Taxonomy 103K00000X
Social Worker Taxonomy 104100000X (FL)
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1447538269
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedJuly 27, 2011
Last updated in NPPESApril 14, 2023
Certification dateJanuary 5, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice La Sagrada Familia Medical Center Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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