GENEVIEVE FONTAINE (NPI# 1245738301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245738301 |
Entity Type | Individual |
Full Name | GENEVIEVE FONTAINE |
Credential | LCSW |
Practice Address |
1780 Old Highway 50 E Union MO 63084-3397 |
Mailing Address |
1800 Community Clinton MO 64735-8804 |
Practice Telephone | 6365828100 |
Mailing Telephone | 6608858131 |
Enumeration Date | 2018-01-24 |
Last Update Date | 2020-07-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
2020016823 | MO | Behavioral Health & Social Service Providers |
Y | 1041S0200X |
Social Worker Specialization: School |
2020016823 | MO | Behavioral Health & Social Service Providers |
Street Address |
1780 OLD HIGHWAY 50 E |
City | UNION |
State | MO |
Zip Code | 63084-3397 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831192830 | Clara Lee Parks | Family Medicine | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2005-05-23 |
1376175828 | Jennifer Marie Hart | Marriage & Family Therapist | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2020-02-12 |
1710527866 | Ada Youpha Sengchannavong | Social Worker | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2020-01-07 |
1275175499 | Ginger Ann Price | Counselor | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2019-10-09 |
1831650084 | Kristen Garber | Social Worker | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2019-03-29 |
1699239111 | Kurt Frederick Kleinschmidt | Counselor | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2019-01-29 |
1326510215 | Margaret Anne Ellett | Nurse Practitioner | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2018-12-18 |
1952886160 | Lynn Rainey | Counselor | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2018-10-03 |
1992299176 | Elise Marie Eichberg | Counselor | 1780 Old Highway 50 E, Union, MO 63084 | 2018-06-20 |
1437642402 | Jacklyn League | Counselor | 1780 Old Highway 50 E, Union, MO 63084 | 2018-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
Find all providers in zip 63084 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427556810 | Julia Ellen Solter | Social Worker | 1780 Old Highway 50 E, Union, MO 63084-3397 | 2018-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427514827 | Marie Elizabeth Brown | Social Worker | 13750 Old Jamestown Rd, Black Jack, MO 63033-4514 | 2019-02-11 |
1811428451 | Ellen Dunne | Social Worker | 125 Pebble Acres Ct, Saint Louis, MO 63141-8030 | 2017-03-24 |
1073052213 | Gayle Giancola | Social Worker | 9100 Saint Charles Rock Rd, Saint Louis, MO 63114-4241 | 2017-02-21 |
1609315332 | Alicia Firman | Social Worker | 11011 Golf Crest Dr, Saint Louis, MO 63126-3419 | 2017-02-14 |
1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
1851769475 | Debbie Busche | Social Worker | 12112 Clayton Rd, Saint Louis, MO 63131-2516 | 2015-09-14 |
1194193011 | Pamela Miller | Social Worker | 8309 Mackenzie Rd, Saint Louis, MO 63123-3455 | 2015-09-09 |
1790153633 | Jennifer Marie Ulrich | Social Worker | 1450 Saint Bernadette Ln, Florissant, MO 63031-7825 | 2015-09-09 |
1346618402 | Kara Labedz | Social Worker | 17401 Manchester Rd, Wildwood, MO 63038-1906 | 2015-09-07 |
1922476217 | Bryan Curtis Kohring | Social Worker | 4530 Weber Rd, Saint Louis, MO 63123-5722 | 2015-09-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.