Active NPIIndividual providerSole proprietor

Mrs. Rachel L Fornicola, LCSW

Social Worker, Clinical in West Long Branch, New Jersey

NPI Number1154972560
Practice location
33 Community Dr, West Long Branch, NJ 07764-1663
Fax
—
Last updated
October 17, 2022

Rachel Lynn Fornicola is a Social Worker, Clinical based in West Long Branch, NJ. Rachel Lynn Fornicola practices in West Long Branch, NJ and has the professional credentials of LCSW. The NPI Number for Rachel Lynn Fornicola is 1154972560 and holds a License No. 44SC06118800 (NJ). The current practice location address for Rachel Lynn Fornicola is 33 Community Dr, West Long Branch, NJ 07764-1663 and can be reached out via phone at 732-682-3057.

Provider Profile Details

NPI Number
1154972560
Provider Name
Rachel Lynn Fornicola
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
33 Community Dr, West Long Branch, NJ 07764-1663
Phone Number
732-682-3057
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2019
Last Update Date
October 17, 2022
Certification Date
October 17, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Community Dr
West Long Branch, NJ 07764-1663
Zip
07764-1663
Phone Number
732-682-3057
West Long Branch, NJ 07764Get directions →

Provider Business Mailing Address Details

Address
33 Community Dr
West Long Branch, NJ 07764-1663
City
West Long Branch
State
NJ
Zip
07764-1663
Phone Number
732-682-3057

License Information

License Number
44SC06118800
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Rachel L Fornicola, LCSW?

The NPI number of Mrs. Rachel L Fornicola, LCSW is 1154972560. It was assigned on September 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Rachel L Fornicola, LCSW?

Mrs. Rachel L Fornicola, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06118800.

Where does Mrs. Rachel L Fornicola, LCSW practice?

The practice location is 33 Community Dr, West Long Branch, NJ 07764-1663. The office can be reached at 732-682-3057 (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 1154972560 directly on the NPPES registry website.

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