IndividualActive
Kelly Forman, APSW
NPI 1427770270 · Clinical Social Worker · Madison, WI
Provider details
- NPI number
- 1427770270
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- APSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
414 Donofrio Dr
Madison, WI 53719-2847
Phone: (608) 206-6291
Street-level locationGet directions
Mailing address
2602 Gregory St
Madison, WI 53711-1839
Additional practice locations (1)
- 2901 W Beltline HwyMadison, WI 53713-4226Phone: (608) 535-5236
Registry dates
- Enumerated
- 2022-09-16
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.