Elissa Forman, LICSW
NPI 1578532438 · Clinical Social Worker · Florence, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elissa Forman, LICSW is a Clinical Social Worker provider in Florence, MA (NPI 1578532438).
Provider details
- NPI number
- 1578532438
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1031672 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
285 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 45 Minutes90834 | 263 | $78 |
| Psychiatric Diagnostic Evaluation90791 | 22 | $130 |
Typical Medicare-allowed amounts for these services range $78–$130 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (3)
- 31 Hall DrAmherst, MA 01002Phone: (413) 256-8561Fax: (866) 644-0869
- 238 Northampton StEasthampton, MA 01027Phone: (413) 529-9300Fax: (866) 644-0870
- 329 Conway StGreenfield, MA 01301Phone: (413) 774-6301Fax: (866) 644-0871
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2023-12-11
- Certified
- 2023-12-11
Frequently asked questions
- What is Elissa Forman's NPI number?
- Elissa Forman's National Provider Identifier (NPI) is 1578532438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elissa Forman's specialty?
- Elissa Forman is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Elissa Forman located?
- Elissa Forman's practice location on file with NPPES is 70 Main St, Florence, MA 01062-1466.
- What is Elissa Forman's phone number?
- The practice phone number listed in the NPPES registry for Elissa Forman is (413) 586-8400.
- Does Elissa Forman accept Medicare?
- Elissa Forman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elissa Forman's NPI active?
- Yes — Elissa Forman's NPI (1578532438) is active in the NPPES registry as of the last update on 2023-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.