- Practice location
- 212 Highgate RD, Ithaca, NY 14850-1436
- Phone
- 862-264-9284
- Fax
- —
- Last updated
- December 26, 2025
Leydi Tatiana Fonseca is a Social Worker, Clinical based in Ithaca, NY. Leydi Tatiana Fonseca practices in Ithaca, NY and has the professional credentials of LCSW. The NPI Number for Leydi Tatiana Fonseca is 1104449032 and holds a License No. 44SC06006900 (NJ). The current practice location address for Leydi Tatiana Fonseca is 212 Highgate RD, Ithaca, NY 14850-1436 and can be reached out via phone at 862-264-9284.
Provider Profile Details
- NPI Number
- 1104449032
- Provider Name
- Leydi Tatiana Fonseca
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 212 Highgate RD, Ithaca, NY 14850-1436
- Phone Number
- 862-264-9284
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 27, 2020
- Last Update Date
- December 26, 2025
- Certification Date
- December 26, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 212 Highgate RD
Ithaca, NY 14850-1436 - City
- Ithaca
- State
- New York
- Zip
- 14850-1436
- Phone Number
- 862-264-9284
Provider Business Mailing Address Details
- Address
- 212 Highgate RD
Ithaca, NY 14850-1436 - City
- Ithaca
- State
- NY
- Zip
- 14850-1436
- Phone Number
- 862-264-9284
License Information
- License Number (1)
- 44SC06006900
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- CW025475
- License State (2)
- PA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- License Number (3)
- 44SL06397700
- License State (3)
- NJ
- Taxonomy (3)
- Social Worker · 104100000X
- License Number (4)
- 095562-01
- License State (4)
- NY
- Taxonomy (4)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Leydi T Fonseca, LCSW?
The NPI number of Leydi T Fonseca, LCSW is 1104449032. It was assigned on May 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Leydi T Fonseca, LCSW?
Leydi T Fonseca, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06006900.
Where does Leydi T Fonseca, LCSW practice?
The practice location is 212 Highgate RD, Ithaca, NY 14850-1436. The office can be reached at 862-264-9284 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104449032 directly on the NPPES registry website.