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

Kristen Formanek, LCSW

Individual provider Clinical Social Worker · NPI 1114567153

Kristen Formanek, LCSW is a Clinical Social Worker in East Granby, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2020
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

17 Chelsea Ln
East Granby, CT 06026-9635
Phone: (860) 543-3928
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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 010816 (CT)

Record details

NPI number1114567153
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 7, 2020
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020

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