Active NPIIndividual providerSole proprietor

Jennifer A Formoso, LCSW

Social Worker, Clinical in Trumbull, Connecticut

NPI Number1386835809
Practice location
55 Bonnie View Dr, Trumbull, CT 06611-4701
Fax
—
Last updated
August 8, 2007

Jennifer Ayers Formoso is a Social Worker, Clinical based in Trumbull, CT. Jennifer Ayers Formoso practices in Trumbull, CT and has the professional credentials of LCSW. The NPI Number for Jennifer Ayers Formoso is 1386835809 and holds a License No. 004638 (CT). The current practice location address for Jennifer Ayers Formoso is 55 Bonnie View Dr, Trumbull, CT 06611-4701 and can be reached out via phone at 203-520-3114.

Provider Profile Details

NPI Number
1386835809
Provider Name
Jennifer Ayers Formoso
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
55 Bonnie View Dr, Trumbull, CT 06611-4701
Phone Number
203-520-3114
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2007
Last Update Date
August 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Bonnie View Dr
Trumbull, CT 06611-4701
Zip
06611-4701
Phone Number
203-520-3114
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
55 Bonnie View Dr
Trumbull, CT 06611-4701
City
Trumbull
State
CT
Zip
06611-4701
Phone Number
203-520-3114

License Information

License Number
004638
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near Trumbull, CT

View all Social Worker, Clinical providers in Trumbull →

Frequently Asked Questions

What is the NPI number of Jennifer A Formoso, LCSW?

The NPI number of Jennifer A Formoso, LCSW is 1386835809. It was assigned on August 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer A Formoso, LCSW?

Jennifer A Formoso, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 004638.

Where does Jennifer A Formoso, LCSW practice?

The practice location is 55 Bonnie View Dr, Trumbull, CT 06611-4701. The office can be reached at 203-520-3114 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386835809 directly on the NPPES registry website.

Browse related providers