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

Fanta BA

Individual provider Clinical Social Worker · NPI 1477279990

Fanta BA is a Clinical Social Worker in Dover, Delaware. Qualified in 2021, 5 years ago. Practices with Thrive Counseling LLC, a 1,188-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
5
Licensed in
DE
In the registry since
2022

Practice location Address checks out

156 S State St
Dover, DE 19901-7314
Phone: (703) 347-1789
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence Q1-0012719 (DE)

Record details

NPI number1477279990
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2022
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thrive Counseling Llc — 1188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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