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

Individual provider Clinical Social Worker · NPI 1386835809

Jennifer Ayers Formoso, LCSW is a Clinical Social Worker in Trumbull, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

55 Bonnie View Dr
Trumbull, CT 06611-4701
Phone: (203) 520-3114
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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 · Licence 004638 (CT)

Record details

NPI number1386835809
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 8, 2007

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