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

Mrs. Rachel Lynn Fornicola, LCSW

Individual provider Clinical Social Worker · NPI 1154972560

Mrs. Rachel Lynn Fornicola, LCSW is a Clinical Social Worker in West Long Branch, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
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

33 Community Dr
West Long Branch, NJ 07764-1663
Phone: (732) 682-3057
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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 44SC06118800 (NJ)

Record details

NPI number1154972560
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 26, 2019
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022

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