Provider Demographics
NPI:1770355232
Name:FORAN, MAGGIE MCCASKILL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MAGGIE
Middle Name:MCCASKILL
Last Name:FORAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10356 NW ALTO LN
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:FL
Mailing Address - Zip Code:32321-5256
Mailing Address - Country:US
Mailing Address - Phone:850-294-1783
Mailing Address - Fax:
Practice Address - Street 1:10356 NW ALTO LN
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:FL
Practice Address - Zip Code:32321-5256
Practice Address - Country:US
Practice Address - Phone:850-294-1783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-26
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW177551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical