| Laurie M Forman, MS SOCIAL WORK | |
|
2631 Merrick Rd, Ste 205, Bellmore, NY 11710 | |
| (516) 679-6673 | |
| (516) 679-6673 |
| Full Name | Laurie M Forman |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 41 Years |
| Location | 2631 Merrick Rd, Bellmore, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962508291 | NPI | - | NPPES |
| 00244817 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R0317371 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nassau Guidance Counseling And Licensed Clinical Social Work Services | 1658408448 | 18 |
| Entity Name | Nassau Guidance Counseling & Licensed Clinical Social Work Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609923515 PECOS PAC ID: 1658408448 Enrollment ID: O20100428000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie M Forman, MS SOCIAL WORK 2631 Merrick Rd, Ste 205, Bellmore, NY 11710 Ph: (516) 679-6673 | Laurie M Forman, MS SOCIAL WORK 2631 Merrick Rd, Ste 205, Bellmore, NY 11710 Ph: (516) 679-6673 |
Carole Rutkovsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 220 Pettit Ave, Bellmore, NY 11710 Phone: 516-382-3733 | |
Mrs. Marla A Burstyn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2397 Legion St, Bellmore, NY 11710 Phone: 516-679-5540 | |
Mrs. Lourdes G. Lacolla, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 220 Pettit Ave, Bellmore, NY 11710 Phone: 516-233-8758 | |
Mrs. Constance Lynn Erdmann, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 400 Natta Blvd, Bellmore, NY 11710 Phone: 516-557-8533 | |
Jamaar Henry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2631 Merrick Rd Ste 203, Bellmore, NY 11710 Phone: 516-535-9510 | |
Mrs. Blanche Stern, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Ocean Ave, Bellmore, NY 11710 Phone: 516-785-6207 | |
Mr. David Aaron Nemiroff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Ocean Ave, Bellmore, NY 11710 Phone: 631-804-3340 |