Individual provider · Type 1 NPI
Fonda Kingsley, LCSW
Clinical Social Worker · Euless, TX
Practice location
3712 Vaucluse Dr Apt 124
Euless, TX 76040-7406
Mailing address
2678 Richmond St NW
Grand Rapids, MI 49504-2331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6851110348 (MI) |
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 1295565570
Fonda Kingsley, LCSW's National Provider Identifier is 1295565570, issued on Aug 2, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Euless, TX. The record was last updated on Jun 23, 2026.