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

Michelle Fuentes

Individual provider Clinical Social Worker · NPI 1104292473

Michelle Fuentes is a Clinical Social Worker in Bronx, New York. Qualified in 2015, 11 years ago. Practices with Footprints Mental Health Counseling, PC, a 13-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

3249 Kingsbridge Ave
Bronx, NY 10463-5514
Phone: (917) 969-2445
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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 088157 (NY)

Record details

NPI number1104292473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Footprints Mental Health Counseling, Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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