Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEYDI TATIANA FONSECA, LCSW
ActiveLEYDI TATIANA FONSECA, LCSW is a Clinical Social Worker healthcare provider located in ITHACA, New York. NPI 1104449032 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ITHACA, NY
Registration Details
- NPI Number
- 1104449032
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 27, 2020 (6.1953088560484 yrs)
- Last Updated
- Dec 26, 2025
- Licenses
-
44SC06006900 (NJ)CW025475 (PA)44SL06397700 (NJ)095562-01 (NY)
Practice Information
- Address
-
212 HIGHGATE RDITHACA, NY, 148501436Browse NY providers · Browse ZIP 14850
- Phone
- 8622649284
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| JANE KATHRYN CHAUNCEY | LCSW-R | 1265437941 |
| MS. PATRICIA A. DEMATTEO | LCSW | 1104827344 |
| MS. RACHELE A. POLLACK | LCSW-R, CASAC | 1992795843 |
| MR. JAMES SORRENTINO | LCSW-R | 1053376269 |
| LORRAINE V MORAN | LCSW-R | 1174579411 |
| TONY E SCOTT | MSW, LCSW | 1902833502 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.