Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanta BA

Individual provider Clinical Social Worker · NPI 1477279990

Fanta BA is a Clinical Social Worker in Dover, Delaware. Qualified in 2021, 5 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
5
Licensed in
DE
In the registry since
2022

Practice location Address checks out

156 S State St
Dover, DE 19901-7314
Phone: (703) 347-1789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence Q1-0012719 (DE)

Record details

NPI number1477279990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2022
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address156 S State St, Dover, DE 19901-7314

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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