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LAURIE M FORMAN MS SOCIAL WORK
NPI 1962508291
Social Worker - Clinical in Bellmore, NY

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
2631 MERRICK RD, STE 205, BELLMORE, NY 11710(516) 679-6673(516) 679-6673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laurie M Forman Ms Social Work NPPES

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

LAURIE M FORMAN MS SOCIAL WORK (NPI 1962508291) is an individual clinical provider in Bellmore, New York, licensed in New York (R0317371) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1962508291
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLAURIE M FORMANCredential: MS SOCIAL WORK
Location Address2631 MERRICK RD, STE 205Bellmore, NY 11710
Mailing Address2631 Merrick Rd, Ste 205Bellmore, NY 11710 · (516) 679-6673 · Fax (516) 679-6673
Phone(516) 679-6673
Fax(516) 679-6673
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962508291 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 NY · R0317371
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.
2631 MERRICK RD, Bellmore, NY 11710
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Other Identifiers 2

Medicare ID-Type UnspecifiedW02541
Medicaid00244817NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laurie M Forman Ms Social Work 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 ID7214038769
PECOS Enrollment IDI20070727000239
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
421 services25 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11710 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

ELLIOTT MARX
Behavior Analyst
2631 MERRICK RD
BELLMORE, NY 11710
Nassau County (516) 590-7575
MS. CARLA GAVILANES
Behavior Analyst
2631 MERRICK RD
BELLMORE, NY 11710
Nassau County (516) 590-7575
ZAKIYAH TOUSSAINT HILLEL
Behavior Analyst
2631 MERRICK RD
BELLMORE, NY 11710
Nassau County (516) 590-7575
BLAYNE MCINERNEY
Behavior Analyst
2631 MERRICK RD
BELLMORE, NY 11710
Nassau County (516) 590-7575
COURTNEY BARONE
Behavior Analyst
2631 MERRICK RD
BELLMORE, NY 11710
Nassau County (516) 698-6995
DR. LAWRENCE MITCHELL RAND MD
Internal Medicine
2631 MERRICK RD, STE 202
BELLMORE, NY 11710
Nassau County (516) 826-2700
BELLMORE MEDICAL ASSOCIATES PC
Family Medicine
2631 MERRICK RD, SUITE 101
BELLMORE, NY 11710
Nassau County (516) 785-6677
NEVEEN IBRAHIM
Behavior Analyst
2631 MERRICK RD
BELLMORE, NY 11710
Nassau County (516) 590-7575

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 Laurie Forman's NPI number?

The NPI number for Laurie Forman is 1962508291. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Laurie Forman located?

Laurie Forman practices at 2631 Merrick Rd Ste 205, Bellmore, NY 11710. The listed phone number is (516) 679-6673.

What is Laurie Forman's specialty?

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

Is Laurie Forman enrolled in Medicare?

Yes. Laurie Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Laurie Forman accept?

Health plans from Providence Health Plan list Laurie Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laurie Forman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.