MR. KENNETH J FORMOSA MSW LMSW NPI 1215947320

NPI Information

  • NPI: 1215947320
  • Provider Name: MR. KENNETH J FORMOSA, MSW, LMSW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: ROMULAS HELP CENTER
    9430 WAYNE ROAD SUITE A
    ROAMULAS, MI
    ZIP 48174
  • Phone: (734) 942-7585

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NPI Details

MR. Kenneth J Formosa, MSW, LMSW is a social worker in Roamulas, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. MR. Kenneth J Formosa, MSW, LMSW NPI is 1215947320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

ROMULAS HELP CENTER
9430 WAYNE ROAD SUITE A
ROAMULAS, MI
ZIP 48174
Phone: (734) 942-7585
Fax: (734) 942-7977

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker6801069917MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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