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

Jacob Fondie, LCSW

Individual provider Clinical Social Worker · NPI 1336191485

Jacob Fondie, LCSW is a Clinical Social Worker in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

800 Poly Pl
Brooklyn, NY 11209-7104
Phone: (718) 836-6600
Fax: (718) 630-2935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R031678-1 (NY)

Record details

NPI number1336191485
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2026

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