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FORMATION HEALTH SERVICES LLC
NPI 1881434561
Social Worker - Clinical in Deer Park, NY

Active since May 29, 2024
8 DEFEO COURT, DEER PARK, NY 11729(631) 942-5429 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Formation Health Services Llc NPPES

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

FORMATION HEALTH SERVICES LLC (NPI 1881434561) is a healthcare organization registered as a clinical in Deer Park, New York and active in the NPI registry since May 2024. The organization lists Meesha Chan, Member, as its authorized official.

NPPES Registry Identity

NPI1881434561
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFORMATION HEALTH SERVICES LLC
Location Address8 DEFEO COURTDeer Park, NY 11729
Mailing Address8 Defeo CourtDeer Park, NY 11729 · (631) 942-5429
Phone(631) 942-5429
Organization SubpartNo
Authorized OfficialMeesha ChanMember · (631) 942-5429
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1881434561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
8 DEFEO COURT, Deer Park, NY 11729
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MEESHA CHAN LCSW LLC
Social Worker (Clinical)
8 DEFEO COURT
DEER PARK, NY 11729
Suffolk County (631) 942-5429

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 Formation Health Services LLC's NPI number?

The NPI number for Formation Health Services LLC is 1881434561. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Formation Health Services LLC located?

Formation Health Services LLC is located at 8 Defeo Court, Deer Park, NY 11729. The listed phone number is (631) 942-5429.

What is Formation Health Services LLC'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 Formation Health Services LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.