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

Stephanie E Formoso, LCSW

Individual provider Clinical Social Worker · NPI 1477048064

Stephanie E Formoso, LCSW is a Clinical Social Worker in Ocoee, Florida. Qualified in 2019, 7 years ago. Practices with Personal Recovery Network LLC, a 605-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
7
Licensed in
FL, NY
In the registry since
2018
Specialties on file
2
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

10125 W Colonial Dr Ste 212
Ocoee, FL 34761-4200
Phone: (833) 769-3524
Fax: (407) 232-9439
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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 SW23779 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 098581 (NY)

Record details

NPI number1477048064
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address10125 W Colonial Dr Ste 212, Ocoee, FL 34761-4200

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Personal Recovery Network Llc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ocoee