Individual provider · Type 1 NPI
Conrad Fountaine, LCSW
Clinical Social Worker · Cherry Hill, NJ
Practice location
1930 Marlton Pike E Ste R91
Cherry Hill, NJ 08003-4207
Fax (856) 751-0505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 44SC00746700 (NJ) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1316320807
Conrad Fountaine, LCSW's National Provider Identifier is 1316320807, issued on Jul 2, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cherry Hill, NJ. The record was last updated on Jul 2, 2015.