Individual provider · Type 1 NPI

Michelle Fountain, LCSW

Clinical Social Worker · Santa Rosa, CA

NPI number 1811147895 Active

Practice location

144 Stony Point Rd
Santa Rosa, CA 95401-4122

Call (707) 521-4525 Map

Mailing address

1260 N Dutton Ave Ste 185
Santa Rosa, CA 95401-7146

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X65670 (CA)

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 1811147895

Michelle Fountain, LCSW's National Provider Identifier is 1811147895, issued on Sep 25, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Nov 10, 2025.