Provider Demographics
NPI:1609257732
Name:FOERSTER, ROBERT ERIK (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ERIK
Last Name:FOERSTER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ERIK
Other - Middle Name:
Other - Last Name:FOERSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:43 BROAD STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891
Mailing Address - Country:US
Mailing Address - Phone:401-596-2302
Mailing Address - Fax:
Practice Address - Street 1:43 BROAD STREET
Practice Address - Street 2:SUITE B
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891
Practice Address - Country:US
Practice Address - Phone:401-596-2302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW028641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical