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

Individual provider Clinical Social Worker · NPI 1285787457

Julianna Fomenko, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2007
Specialties on file
2
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

350 W Durham St
Philadelphia, PA 19119-2901
Phone: (215) 584-7093
Fax: (718) 779-7775
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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 CW017430 (PA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 076816-1 (NY)

Record details

NPI number1285787457
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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