WANDA DENISE COATES FOUNTAIN
NPI 1124717194
Social Worker in Clinton Township, MI

Active since May 04, 2023
17345 15 MILE RD, CLINTON TOWNSHIP, MI 48035(586) 222-2244 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, May 4, 2023 (2 updates tracked since 2023).

About Wanda Denise Coates Fountain NPPES

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

WANDA DENISE COATES FOUNTAIN (NPI 1124717194) is an individual social worker in Clinton Township, Michigan, licensed in Michigan (6802073300) and active in the NPI registry since May 2023. She maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1124717194
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameWANDA DENISE COATES FOUNTAIN
Location Address17345 15 MILE RDClinton Township, MI 48035-2301
Mailing Address151 Lafayette StPontiac, MI 48342-2082 · (586) 222-2244
Sole ProprietorNo
Enumeration DateMay 4, 2023
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1124717194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6802073300
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.
17345 15 MILE RD, Clinton Township, MI 48035

Secondary Practice Location 1

Location 1151 Lafayette StPontiac, MI 48342-2082 · Phone (586) 222-2244

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
17345 15 MILE RD
CLINTON TOWNSHIP, MI 48035

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 Wanda Denise Coates Fountain's NPI number?

The NPI number for Wanda Denise Coates Fountain is 1124717194. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Wanda Denise Coates Fountain located?

Wanda Denise Coates Fountain practices at 17345 15 Mile Rd, Clinton Township, MI 48035. The listed phone number is (586) 222-2244.

What is Wanda Denise Coates Fountain'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 Wanda Denise Coates Fountain was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.