Individual provider · Type 1 NPI

Shana Fontaine

Clinical Social Worker · New York, NY

NPI number 1114178209 Active

Practice location

1301 5th Ave
New York, NY 10029-3119

Call (212) 426-3400 Map

Mailing address

104 Sanford Pl
Newark, NJ 07106-3316

Other practice locations

  • 1585 Springfield Ave Ste 2, Maplewood, NJ 07040-2857 · (347) 972-5221

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05696500 (NJ)

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…

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About NPI 1114178209

Shana Fontaine's National Provider Identifier is 1114178209, issued on Oct 7, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Aug 26, 2026.