Ms Shepherd Macdougald Fountain, LCSW LCAS is a
Social Worker - Clinical based in Raleigh, North Carolina. Ms Shepherd Macdougald Fountain is licensed to practice in North Carolina (license number C003525LCSW) and her current practice location is
4010 Barrett Dr, Ste 101, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 788-8002.
NPI number for Ms Shepherd Macdougald Fountain is 1871632729 and her current mailing address is 111 Edenburgh Rd, Raleigh, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871632729.
Healthcare Provider's Profile
| Full Name | Ms Shepherd Macdougald Fountain |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 4010 Barrett Dr, Raleigh, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1871632729
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 01/16/2009
Medical Identifiers
Medical identifiers for Ms Shepherd Macdougald Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871632729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 648LCAS (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C003525LCSW (North Carolina) | 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. Ms Shepherd Macdougald 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 |
|---|
Ms Shepherd Macdougald Fountain, LCSW LCAS
111 Edenburgh Rd,
Raleigh, NC 27608
Ph: (919) 788-8002 | Ms Shepherd Macdougald Fountain, LCSW LCAS
4010 Barrett Dr, Ste 101,
Raleigh, NC 27609
Ph: (919) 788-8002 |
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