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KEVIN DURAN FAUNTLEROY JR. MSW, ASW
NPI 1114631611
Social Worker in Oakland, CA

Active since January 09, 2023
280 17TH ST, OAKLAND, CA 94612(510) 238-5020 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, May 17, 2023, Jan 9, 2023 (3 updates tracked since 2023).

About Kevin Duran Fauntleroy Jr. Msw, Asw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN DURAN FAUNTLEROY JR. MSW, ASW (NPI 1114631611) is an individual social worker in Oakland, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1114631611
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKEVIN DURAN FAUNTLEROY JR.Credential: MSW, ASW
Location Address280 17TH STOakland, CA 94612-4124
Mailing Address280 17th StOakland, CA 94612-4124 · (510) 238-5020
Phone(510) 238-5020
Sole ProprietorYes
Enumeration DateJanuary 9, 2023
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1114631611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
280 17TH ST, Oakland, CA 94612
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARCELA L. PEREZ
Registered Nurse
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
XIANJA BARROW
Case Management
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
MRS. MARITZA COREA
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
NOEL MILAN
Counselor (Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
JAMES PRECOUR
Technician, Health Information
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
KRISTINA P SMITH
Counselor (Professional)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 514-5948
MS. DESIREE ALVAREZ
Rehabilitation Practitioner
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020
SYDNEY WILSON
Registered Nurse (Psychiatric/Mental Health)
280 17TH ST
OAKLAND, CA 94612
Alameda County (510) 238-5020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Fauntleroy's NPI number?

The NPI number for Kevin Fauntleroy is 1114631611. It was assigned to this individual provider in the NPPES registry on January 9, 2023.

Where is Kevin Fauntleroy located?

Kevin Fauntleroy practices at 280 17th St, Oakland, CA 94612. The listed phone number is (510) 238-5020.

What is Kevin Fauntleroy's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Kevin Fauntleroy was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.