Jaimie Lynne Fountain, LMSW, LMHC is a
Social Worker based in Williamsville, New York. Jaimie Lynne Fountain is licensed to practice in * (Not Available) (license number ) and her current practice location is
6350 Main St, Williamsville, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 783-3100.
NPI number for Jaimie Lynne Fountain is 1548094592 and her current mailing address is 61 June Dr, Elma, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548094592.
Healthcare Provider's Profile
| Full Name | Jaimie Lynne Fountain |
|---|
| Gender | Female |
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| Speciality | Social Worker |
|---|
| Location | 6350 Main St, Williamsville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548094592
- Provider Enumeration Date: 08/30/2024
- Last Update Date: 08/30/2024
Medical Identifiers
Medical identifiers for Jaimie Lynne Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548094592 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaimie Lynne Fountain is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jaimie Lynne Fountain, LMSW, LMHC
61 June Dr,
Elma, NY 14059-9203
Ph: (716) 864-7052 | Jaimie Lynne Fountain, LMSW, LMHC
6350 Main St,
Williamsville, NY 14221-5821
Ph: (716) 783-3100 |
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