Individual provider · Type 1 NPI
Juanita Fontenot
Clinical Social Worker · Silver Spring, MD
Practice location
3934 Tynewick Dr
Silver Spring, MD 20906-2666
Mailing address
5820 York Rd Ste 201
Baltimore, MD 21212-3620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | LG200002703 (DC) |
| Social Worker | 104100000X | 27471 (MD) |
| Clinical Social Worker | 1041C0700X | LC200003459 (DC) |
| Clinical Social Worker Primary | 1041C0700X | 27471 (MD) |
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 1245063981
Juanita Fontenot's National Provider Identifier is 1245063981, issued on Aug 20, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Silver Spring, MD. The record was last updated on May 5, 2025.