LATARISHA FOUNTAIN (NPI# 1952766552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952766552 |
| Entity Type | Individual |
| Full Name | LATARISHA FOUNTAIN |
| Credential | MSW |
| Practice Address |
726 Green Ln Union NJ 07083-7766 |
| Practice Telephone | 9088755312 |
| Mailing Telephone | 9088755312 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
726 GREEN LN |
| City | UNION |
| State | NJ |
| Zip Code | 07083-7766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902254055 | Multiple Perspective | Case Management | 726 Green Ln, Union, NJ 07083-7766 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
| 1487298543 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 Glendale Pl, Union, NJ 07083 | 2019-11-01 |
| 1578116570 | Care Assist LLC | Home Health Aide | 2333 Morris Ave., Suite C 214, Union, NJ 07083 | 2019-07-18 |
| 1902462195 | Community Access Unlimited Inc | Community/Behavioral Health | 1 Hendricks Drive, Union, NJ 07083 | 2019-05-14 |
| 1265918577 | Francesca Viola-hamilton | Social Worker | Cooperative Counseling Services, 407 Chestnut St., Union, NJ 07083 | 2018-07-19 |
| 1891285839 | Robert E. West Jr. | Social Worker | 407 Chestnut St., Union, NJ 07083 | 2018-05-15 |
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1740718220 | Afnan Talat | Family Medicine | 2317 Center Island, Route 22, Union, NJ 07083 | 2017-05-30 |
| 1366976953 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2202 Halsey Street, Union, NJ 07083 | 2017-04-20 |
| 1518490275 | Sabri Youssef | Physician Assistant | 855 Lehigh Avenue, Advanced Spine Surgery Center. Suite 203, Union, NJ 07083 | 2017-04-09 |
| Find all providers in zip 07083 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144875485 | Lakisha J Stewart | Social Worker | 1820 Manor Dr Apt B, Union, NJ 07083-4612 | 2019-08-05 |
| 1679045058 | Joseph Paintsil | Social Worker | 1049 Pine Ave, Union, NJ 07083-3623 | 2018-12-22 |
| 1568955086 | Ann Marie Shafner | Social Worker | 100 E Martindale Rd, Union, OH 45322-3306 | 2018-06-09 |
| 1194243881 | Dana Taylor | Social Worker | 1360 Morris Ave, Union, NJ 07083-3318 | 2017-09-01 |
| 1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
| 1659676567 | Sarah Jo Wildt | Social Worker | 102 E Springfield Ave, Suite 202, Union, MO 63084-1818 | 2011-01-24 |
| 1710154158 | Jennifer Lustman | Social Worker | 1780 Old Highway 50 E Ste 102, Union, MO 63084-3397 | 2008-05-14 |
| 1750414520 | Cathey Overton Rodgers | Social Worker | 112 Fant Ln, Union, SC 29379-1901 | 2007-03-13 |
| 1255422119 | Jennifer Sullivan Cooper | Social Worker | 130 Medical Sciences Dr, Union, SC 29379-8609 | 2006-09-27 |
| 1265499040 | Julie Stevens Long | Social Worker | 104 S Mckinley, Suite D, Union, MO 63084 | 2006-04-27 |
| Find all providers in UNION | ||||
Please comment or provide details below to improve the information on LATARISHA FOUNTAIN.
| 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.