Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518459296 Individual Practitioner Female Practitioner

Ellen Forman

Social Worker • Boston, MA

Professional Overview & Biography Verified Profile Summary

Ellen Forman is a registered healthcare professional specializing in Social Worker in Boston, MA. Practice services are available at 55 FRUIT STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 Fruit Street
Wac 037

Boston, MA 02114

Telephone 6177265897
Associated Practice Facility / Clinic
🏢 Mgh Outpatient Pharmacy Facility NPI 1902991573

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
467 Specialists

Practicing in Boston, MA (5619 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

55 Fruit Street, Wac 037

Boston, MA 02114

Phone: 6177265897

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kui Toh Leong , MD

Internal Medicine - Cardiovascular Disease

NPI 1003007121

Doctor of Medicine (M.D.)

Jacqueline Bango , LICSW

Social Worker - Clinical

NPI 1003329095

Licensed Independent Clinical Social Worker

Sara Grosslein , PA

Physician Assistant

NPI 1003486499

Physician Assistant

Dr. Jeffrey Ellenbogen , MD

Psychiatry & Neurology - Neurology

NPI 1003856535

Doctor of Medicine (M.D.)

Dr. Nancy Harris , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003889445

Doctor of Medicine (M.D.)

Dr. Stanley Shaw , MD PHD

Internal Medicine - Cardiovascular Disease

NPI 1003921636

MDPHD

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2018

Registered at 55 FRUIT STREET, WAC 037, BOSTON, MA 02114 (Tel: 6177265897)

📍
Updated Business Mailing Address May 30, 2018

Registered at 55 FRUIT STREET, WAC 037, BOSTON, MA 02114 (Tel: 6177265897)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as ELLEN FORMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Social Worker

🟢
Initial NPI Registration & Enumeration May 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518459296
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2018
Last Update: May 30, 2018
Sole Proprietor: No

Mailing Address

55 Fruit Street, Wac 037

Boston, MA 02114

Phone: 6177265897

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.