MS. Nicole Stacey Forgoston, LCSW

NPI #1528360344 in Sandy Springs, Georgia

Provider Information

NPI Number: 1528360344
Entity Type: Individual
Name: MS. Nicole Stacey Forgoston, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Nov 30, 2010
Last Updated: Apr 13, 2022

Practice Location

Address: 1100 LAKE HEARN DRIVE, NE STE'S 250 & 500
Address 2: KAISER PERMANENTE SANDY SPRINGS MEDICAL CENTER
City: Sandy Springs
State: Georgia
ZIP Code: 30342
Phone: (404) 845-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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