Individual provider · Type 1 NPI
Marilyn Marie Fonseca, MSW
Clinical Social Worker · Lafayette, LA
Practice location
103 Rue Beauregard, Suite B
Lafayette, LA 70508
Mailing address
121 Tanya St
Lafayette, LA 70507-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | 2148 (LA) |
| Clinical Social Worker Primary | 1041C0700X | 2148 (LA) |
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 1801237128
Marilyn Marie Fonseca, MSW's National Provider Identifier is 1801237128, issued on Jul 15, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, LA. The record was last updated on Jul 15, 2013.