Active NPIIndividual provider

Jacob Fondie, LCSW

Social Worker, Clinical in Brooklyn, New York

NPI Number1336191485
Practice location
800 Poly Pl, Brooklyn, NY 11209-7104
Fax
718-630-2935
Last updated
July 13, 2026

Jacob Fondie is a Social Worker, Clinical based in Brooklyn, NY. Jacob Fondie practices in Brooklyn, NY and has the professional credentials of LCSW. The NPI Number for Jacob Fondie is 1336191485 and holds a License No. R031678-1 (NY). The current practice location address for Jacob Fondie is 800 Poly Pl, Brooklyn, NY 11209-7104 and can be reached out via phone at 718-836-6600 and via fax at 718-630-2935.

Provider Profile Details

NPI Number
1336191485
Provider Name
Jacob Fondie
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
800 Poly Pl, Brooklyn, NY 11209-7104
Phone Number
718-836-6600
Fax Number
718-630-2935
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Poly Pl
Brooklyn, NY 11209-7104
Zip
11209-7104
Phone Number
718-836-6600
Fax Number
718-630-2935
Brooklyn, NY 11209Get directions →

Provider Business Mailing Address Details

Address
642 Washington St
New York, NY 10014-6327
City
New York
State
NY
Zip
10014-6327
Phone Number
212-366-1727

License Information

License Number
R031678-1
License State
NY
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 Jacob Fondie, LCSW?

The NPI number of Jacob Fondie, LCSW is 1336191485. It was assigned on May 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Jacob Fondie, LCSW?

Jacob Fondie, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number R031678-1.

Where does Jacob Fondie, LCSW practice?

The practice location is 800 Poly Pl, Brooklyn, NY 11209-7104. The office can be reached at 718-836-6600 (phone) or 718-630-2935 (fax).

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 1336191485 directly on the NPPES registry website.

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