MR. KENNETH J SR. FORMOSA (MSW, LMSW) – Social Worker, NPI 1215947320

MR. KENNETH J SR. FORMOSA (MSW, LMSW) is a healthcare provider. based in Roamulas, Michigan. specializing in Social Worker. They hold the professional credentials MSW, LMSW. They hold a License No. 6801069917 (MI). The NPI Number for MR. KENNETH J SR. FORMOSA (MSW, LMSW) is 1215947320

Main info

Male
Sole Proprietor
Name
MR. KENNETH J SR. FORMOSA (MSW, LMSW)
NPI
1215947320
Phone
(734) 942-7585
Address
ROMULAS HELP CENTER
Enumeration Date
9 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MR. KENNETH J SR. FORMOSA (MSW, LMSW)

  • ROMULAS HELP CENTER

    9430 WAYNE ROAD SUITE A

    ROAMULAS, MI 48174

    Phone: (734) 942-7585

    Fax: (734) 942-7977

    Type: Location

  • 8416 BAYTES DR

    BRIGHTON, MI 48116

    Phone: (734) 751-5722

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48174)

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Reviews

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Frequently asked questions

What unique ID ties claims to MR. KENNETH J SR. FORMOSA (MSW, LMSW)?
NPI 1215947320 is assigned to MR. KENNETH J SR. FORMOSA (MSW, LMSW) under the national enumeration system.
Is MR. KENNETH J SR. FORMOSA (MSW, LMSW)'s NPI currently valid?
The extract we use shows MR. KENNETH J SR. FORMOSA (MSW, LMSW) as active.
Does MR. KENNETH J SR. FORMOSA (MSW, LMSW) list a primary specialty?
If you are matching referrals, note Social Worker for MR. KENNETH J SR. FORMOSA (MSW, LMSW). Clinical services aligned with this taxonomy classification.
Where is MR. KENNETH J SR. FORMOSA (MSW, LMSW)'s primary listing?
We display Roamulas, Michigan because that is what the record indicates for MR. KENNETH J SR. FORMOSA (MSW, LMSW).
What if Roamulas, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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