Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Formation Health Services LLC

Organization Clinical Social Worker · NPI 1881434561

Formation Health Services LLC is a Clinical Social Worker in Deer Park, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8 Defeo Ct
Deer Park, NY 11729
Phone: (631) 942-5429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1881434561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meesha Chan — Member · (631) 942-5429
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address8 Defeo Court, Deer Park, NY 11729

Other providers in Deer Park