Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE FONSECA, LCSW-C
DeactivatedJACQUELINE FONSECA, LCSW-C is a Clinical Social Worker healthcare provider located in ANNAPOLIS, Maryland. NPI 1881078046 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · ANNAPOLIS, MD
This NPI has been deactivated.
The record was deactivated on February 9, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1881078046
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2015 (1.5698630136986 yrs)
- Last Updated
- Sep 19, 2025
- Deactivated
- Feb 9, 2017
- License
-
21208 (MD)
Practice Information
- Address
-
600 RIDGELY AVE STE 213ANNAPOLIS, MD, 214018804Browse MD providers · Browse ZIP 21401
- Phone
- 4439834488
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ANNAPOLIS, MD
| Name | Credential | NPI |
|---|---|---|
| MS. MARTHA FOSTER LURZ | L.C.S.W.-C. | 1669472478 |
| KAREN GENTILE | CLINICAL SOCIAL WORK | 1578535712 |
| CALVIN J SMITH | CLINICAL SOCIAL WORK | 1366417230 |
| SHANNON MARIE HARIG-BLAINE | — | 1154399046 |
| MARY E PENICK | LCSW-C | 1578586152 |
| MRS. ANNA KAIJA ROUSH | LCSW-C | 1164446639 |
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.