Provider Demographics
NPI:1023617743
Name:FORSYTHE, CODY (LCSW)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:
Last Name:FORSYTHE
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 1:880 N CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9791
Mailing Address - Country:US
Mailing Address - Phone:570-854-5185
Mailing Address - Fax:
Practice Address - Street 1:645 PENN ST FL 4
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3559
Practice Address - Country:US
Practice Address - Phone:484-755-5736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CW0258191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical