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BRANDON MICHAEL FONSECA LCSW
NPI 1104475524
Social Worker - Clinical in Pomona, CA

Active since September 09, 2019
3191 W TEMPLE AVE STE 150, POMONA, CA 91768(626) 206-3139 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Dec 10, 2025, Sep 9, 2019 (3 updates tracked since 2019).

About Brandon Michael Fonseca Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON MICHAEL FONSECA LCSW (NPI 1104475524) is an individual clinical provider in Pomona, California, licensed in California (130684) and active in the NPI registry since September 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104475524
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRANDON MICHAEL FONSECACredential: LCSW
Location Address3191 W TEMPLE AVE STE 150Pomona, CA 91768-3243
Mailing Address3191 W Temple Ave Ste 150Pomona, CA 91768-3243 · (714) 409-5057
Phone(626) 206-3139
Sole ProprietorYes
Enumeration DateSeptember 9, 2019
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1104475524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 130684
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3191 W TEMPLE AVE STE 150, Pomona, CA 91768
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Secondary Practice Locations 2

Location 118003 Sky Park Cir Ste H2Irvine, CA 92614-6526 · Phone (714) 409-5057
Location 25201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140 · Phone (714) 409-5057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Fonseca's NPI number?

The NPI number for Brandon Fonseca is 1104475524. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Brandon Fonseca located?

Brandon Fonseca practices at 3191 W Temple Ave Ste 150, Pomona, CA 91768. The listed phone number is (626) 206-3139.

What is Brandon Fonseca's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Brandon Fonseca was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.