Provider Demographics
NPI:1255488466
Name:FORTE, CRAIG (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:FORTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 UNIVERSITY AVE # B
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2019
Mailing Address - Country:US
Mailing Address - Phone:650-473-0332
Mailing Address - Fax:650-473-0302
Practice Address - Street 1:630 UNIVERSITY AVE # B
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2019
Practice Address - Country:US
Practice Address - Phone:650-473-0332
Practice Address - Fax:650-473-0302
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS126451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical