Provider Demographics
NPI:1992085914
Name:FORBES, VERONICA J (LCSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:J
Last Name:FORBES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:RONNIE
Other - Middle Name:JEAN MASTER
Other - Last Name:FORBES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:972 MISSION STREET 3RD FLOOR
Mailing Address - Street 2:BEHAVIORAL HEALTH DEPARTMENT
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-0929
Mailing Address - Country:US
Mailing Address - Phone:415-508-8047
Mailing Address - Fax:
Practice Address - Street 1:972 MISSION STREET 3RD FLOOR
Practice Address - Street 2:BEHAVIORAL HEALTH DEPARTMENT
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-0929
Practice Address - Country:US
Practice Address - Phone:415-508-8047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34040104100000X
CA700291041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical