Individual provider · Type 1 NPI

Janine Fonfara, LCSW

Clinical Social Worker · Colchester, CT

NPI number 1124215546 Active

Practice location

163 Broadway St
Colchester, CT 06415-1022

Fax (860) 537-6935

Mailing address

112 Lafayette St
Norwich, CT 06360-2737

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X004773 (CT)

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 1124215546

Janine Fonfara, LCSW's National Provider Identifier is 1124215546, issued on Sep 30, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Colchester, CT. The record was last updated on Feb 24, 2015.