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KRISTEN FORMANEK LCSW
NPI 1114567153
Social Worker - Clinical in East Granby, CT

Active since January 07, 2020
17 CHELSEA LN, EAST GRANBY, CT 06026(860) 543-3928 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Formanek Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN FORMANEK LCSW (NPI 1114567153) is an individual clinical provider in East Granby, Connecticut, licensed in Connecticut (010816) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1114567153
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTEN FORMANEKCredential: LCSW
Location Address17 CHELSEA LNEast Granby, CT 06026-9635
Mailing Address17 Chelsea LnEast Granby, CT 06026-9635 · (860) 543-3928
Phone(860) 543-3928
Sole ProprietorYes
Enumeration DateJanuary 7, 2020
✔ NPI 1114567153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CT · 010816
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
17 CHELSEA LN, East Granby, CT 06026
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Formanek's NPI number?

The NPI number for Kristen Formanek is 1114567153. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Kristen Formanek located?

Kristen Formanek practices at 17 Chelsea Ln, East Granby, CT 06026. The listed phone number is (860) 543-3928.

What is Kristen Formanek's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kristen Formanek was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.