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

Individual provider Clinical Social Worker · NPI 1962508291

Laurie M Forman, MSSOCIALWORK is a Clinical Social Worker in Bellmore, New York. Qualified in 1984, 42 years ago. Practices with Nassau Guidance Counseling and Licensed Clinical Social Work Services, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
42
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

2631 Merrick Rd Ste 205
Bellmore, NY 11710
Phone: (516) 679-6673
Fax: (516) 679-6673
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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 R0317371 (NY)

Record details

NPI number1962508291
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSOCIALWORK
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Nassau Guidance Counseling And Licensed Clinical Social Work Services — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bellmore