Individual provider · Type 1 NPI
Julianna Fomenko, LCSW
Clinical Social Worker · Philadelphia, PA
Practice location
350 W Durham St
Philadelphia, PA 19119-2901
Fax (718) 779-7775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | CW017430 (PA) |
| Clinical Social Worker | 1041C0700X | 076816-1 (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…
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About NPI 1285787457
Julianna Fomenko, LCSW's National Provider Identifier is 1285787457, issued on Jan 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 17, 2023.