Individual provider · Type 1 NPI
Jacqueline Fonseca, LCSW-C
Clinical Social Worker · Annapolis, MD
Practice location
600 Ridgely Ave Ste 213
Annapolis, MD 21401-8804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 21208 (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 1881078046
Jacqueline Fonseca, LCSW-C's National Provider Identifier is 1881078046, issued on Jul 16, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Annapolis, MD. The record was last updated on Sep 19, 2025.