Latarisha Fountain, MSW is a
Social Worker based in Union, New Jersey. Latarisha Fountain is licensed to practice in * (Not Available) (license number ) and her current practice location is
726 Green Ln, Union, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 875-5312.
NPI number for Latarisha Fountain is 1952766552 and her current mailing address is 726 Green Ln, Union, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952766552.
Healthcare Provider's Profile
| Full Name | Latarisha Fountain |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 726 Green Ln, Union, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952766552
- Provider Enumeration Date: 12/23/2015
- Last Update Date: 05/31/2016
Medical Identifiers
Medical identifiers for Latarisha Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952766552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041S0200X | Social Worker - School | (* (Not Available)) | Secondary |
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. Latarisha 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 |
|---|
Latarisha Fountain, MSW
726 Green Ln,
Union, NJ 07083-7766
Ph: (908) 875-5312 | Latarisha Fountain, MSW
726 Green Ln,
Union, NJ 07083-7766
Ph: (908) 875-5312 |
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