Individual provider · Type 1 NPI
Leydi Tatiana Fonseca, LCSW
Clinical Social Worker · Ithaca, NY
Practice location
212 Highgate Rd
Ithaca, NY 14850-1436
Other practice locations
- 987 Delsea Dr, Franklinville, NJ 08322-2313 · (609) 358-1719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06006900 (NJ) |
| Clinical Social Worker | 1041C0700X | CW025475 (PA) |
| Social Worker | 104100000X | 44SL06397700 (NJ) |
| Clinical Social Worker Primary | 1041C0700X | 095562-01 (NY) |
Clinical Social Worker: 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 interpers…
Another provider at this address
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About NPI 1104449032
Leydi Tatiana Fonseca, LCSW's National Provider Identifier is 1104449032, issued on May 27, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ithaca, NY. The record was last updated on Dec 26, 2025.