Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURIE M FORMAN, MS SOCIAL WORK
ActiveLAURIE M FORMAN, MS SOCIAL WORK is a Clinical Social Worker healthcare provider located in BELLMORE, New York. NPI 1962508291 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · BELLMORE, NY
Registration Details
- NPI Number
- 1962508291
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2006 (19.899599916262 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R0317371 (NY)
Practice Information
- Address
-
2631 MERRICK RDSTE 205BELLMORE, NY, 11710Browse NY providers · Browse ZIP 11710
- Phone
- 5166796673
- Fax
- 5166796673
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in BELLMORE, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. LOURDES G. LACOLLA | LCSW | 1104867977 |
| MRS. BLANCHE STERN | LCSW | 1184734022 |
| BRUCE GOLDMAN | LCSW | 1700988573 |
| MR. DAVID AARON NEMIROFF | LCSW | 1255439212 |
| MR. DOUGLAS KENNETH KELBAN | LCSW | 1447350913 |
| MRS. CONSTANCE LYNN ERDMANN | LCSW-R | 1104995158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.