STEPHANIE E FORMOSO LCSW
NPI 1477048064
Social Worker - Clinical in Ocoee, FL

Q: What is Stephanie Formoso's NPI number?

The NPI number for Stephanie Formoso is 1477048064. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Stephanie Formoso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Formoso was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment

10125 W COLONIAL DR STE 212, OCOEE, FL 34761(833) 769-3524(407) 232-9439 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2026, Nov 14, 2024, Feb 3, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Stephanie E Formoso Lcsw NPPES

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

STEPHANIE E FORMOSO LCSW (NPI 1477048064) is an individual clinical provider in Ocoee, Florida, licensed in Florida (SW23779) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477048064

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTEPHANIE E FORMOSOCredential: LCSW

Location Address10125 W COLONIAL DR STE 212Ocoee, FL 34761-4200

Mailing Address10125 W Colonial Dr Ste 212Ocoee, FL 34761-4200 · (833) 769-3524 · Fax (407) 232-9439

Phone(833) 769-3524

Fax(407) 232-9439

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 26, 2018

Last NPPES UpdateJanuary 2, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1477048064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in FL · SW23779✔ Licensed in NY · 098581

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.

10125 W COLONIAL DR STE 212, Ocoee, FL 34761

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie E Formoso Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931635299

PECOS Enrollment IDI20250116000064

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stephanie Formoso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Personal Recovery Network LLC

377 mi

Psychiatry

250 CORPORATE CENTER CT
Stockbridge, GA 30281

Reassigned Medicare billing, Florida enrollment
408 clinicians in this Medicare group

NPI 1881990869 (770) 389-8100

Integrity Social Work Services LLC

930 mi

Mental Health

1110 SOUTH AVE STE 404
Staten Island, NY 10314

Reassigned Medicare billing, New York enrollment
131 clinicians in this Medicare group

NPI 1972715456 (718) 494-2858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VANESSA RUBY JIBAJA LMHC

Counselor (Mental Health)