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

Nikita Fonarev

Individual provider Clinical Social Worker · NPI 1811661242

Nikita Fonarev is a Clinical Social Worker in West Orange, New Jersey. Works from 3 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

20 Randolph Pl Ste A
West Orange, NJ 07052-4808
Phone: (347) 668-0107
Show map & directions

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

Additional practice locations (2)

  • 830 Morris Tpke Ste 405, Short Hills, NJ 07078-2620 — (973) 544-8617
  • 310 Cedar Ln Ste 3b, Teaneck, NJ 07666-3441 — (201) 541-8600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06438400 (NJ)

Record details

NPI number1811661242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2021
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

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