Provider Demographics
NPI:1386782241
Name:FORBES, HOWARD DELANO (LCSW R)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:DELANO
Last Name:FORBES
Suffix:
Gender:M
Credentials:LCSW R
Other - Prefix:MR
Other - First Name:HOWARD
Other - Middle Name:ANTHONY
Other - Last Name:FORBES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW R
Mailing Address - Street 1:774 BARTHOLDI ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-6208
Mailing Address - Country:US
Mailing Address - Phone:917-715-3652
Mailing Address - Fax:212-939-1710
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:HARLEM HOSP CTR R6146
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:917-715-3652
Practice Address - Fax:212-939-1710
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038462 R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical