STEPHANIE E FORMOSO (LCSW) – Addiction (Substance Use Disorder) Counselor, NPI 1477048064
Addiction (Substance Use Disorder) Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,009 CLINICAL SOCIAL WORKER in NY
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Provider Addresses for STEPHANIE E FORMOSO (LCSW)
1978 WESTHILL RUN
WINDERMERE, FL 347866229
Phone:
Type: Mailing
126, North Franklin Street, Hempstead, Nassau County, New York, 11550, United States
HEMPSTEAD, NY 115501318
Phone: (516) 486-7200
Type: Location
1065 SOUTHERN BLVD
BRONX, NY 104592417
Phone: (718) 858-9160
Type: Location
10125 W COLONIAL DR STE 212
OCOEE, FL 347614200
Phone: (833) 769-3524
Fax: (407) 232-9439
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241210001907 | I | Clinical Social Worker | NY | TBD |
| I20250116000064 | I | Clinical Social Worker | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34786)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| - | GA | |
| - | GA | |
| Clinical Psychologist | GA | |
| Nurse Practitioner | GA | |
| Clinical Psychologist | GA | |
| Marriage And Family Therapist | GA | |
| P S Y C H I A T R Y | GA | |
| Clinical Psychologist | GA |
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