Individual provider · Type 1 NPI

David Nkong Fomanka, LICSW

Clinical Social Worker · Washington, DC

NPI number 1376249110 Active

Practice location

2759 Martin Luther King Jr Ave SE Ste 301
Washington, DC 20032-2651

Fax (202) 827-9963

Mailing address

7711 Riverdale Rd Apt 102
New Carrollton, MD 20784-3940

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC200002967 (DC)

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 1376249110

David Nkong Fomanka, LICSW's National Provider Identifier is 1376249110, issued on Feb 3, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Oct 18, 2026.