Provider Demographics
NPI:1508293622
Name:FORBES, DEVON (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DEVON
Middle Name:
Last Name:FORBES
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 1:199 MONTEMERLO AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR LOCKS
Mailing Address - State:CT
Mailing Address - Zip Code:06096-2727
Mailing Address - Country:US
Mailing Address - Phone:860-995-8330
Mailing Address - Fax:860-906-1040
Practice Address - Street 1:555 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-3081
Practice Address - Country:US
Practice Address - Phone:860-995-8330
Practice Address - Fax:860-906-1040
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical