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

MS. Kristen Marie Forman, LCSW

Individual provider Clinical Social Worker · NPI 1285105403

MS. Kristen Marie Forman, LCSW is a Clinical Social Worker in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
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

115 Pine St Ste 303
Ridgewood, NJ 07450
Phone: (201) 564-0597
Fax: (201) 670-1214
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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 44SC05624500 (NJ)

Record details

NPI number1285105403
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022

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