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

MS. Maureen Harris Forman, LCSW

Individual provider Clinical Social Worker · NPI 1023395514

MS. Maureen Harris Forman, LCSW is a Clinical Social Worker in Palm Springs, California. Qualified in 1987, 39 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2011
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

490 S Farrell Dr Ste C 208
Palm Springs, CA 92262-7992
Phone: (760) 325-4088
Fax: (760) 778-3781
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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 LCS14661 (CA)

Record details

NPI number1023395514
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 10, 2011
Last updated in NPPESJanuary 17, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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