Kamilah Dolora Fonza, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008131 Issued in GA

Practice address

3060 Kimball Bridge Rd Ste 110
Alpharetta, GA 30022-1404

Phone

(404) 618-2241

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1114649456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 ROSWELL RD UNIT 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 KIMBALL BRIDGE RD STE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221404",
            "telephone_number": "404-618-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONZA",
        "first_name": "KAMILAH",
        "middle_name": "DOLORA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1912138710",
            "identifier": "1912138710",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kamilah@focusforwardcc.com",
            "affiliation": "N",
            "address_1": "3060 Kimball Bridge Rd Ste 110",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300221404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.