Forgoston, Nicole Stacey

Forgoston, Nicole Stacey is an individual health care provider with primary practice located at 1100 Lake Hearn Drive, Ne Ste'S 250 & 500 Kaiser Permanente Sandy Springs Medical Center, Sandy Springs GA 30342. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Forgoston, Nicole Stacey can be contacted via phone (404) 845-4500.

Contact Information

Primary practice address
1100 Lake Hearn Drive, Ne Ste'S 250 & 500 Kaiser Permanente Sandy Springs Medical Center Sandy Springs GA 30342
Phone: (404) 845-4500
Fax: (212) 584-5450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 081844 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X CSW005015 Georgia

Profile Details

NPI number 1528360344
LBN Legal business name Forgoston, Nicole Stacey
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2010
Last updated Apr 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers