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CONRAD FOUNTAINE LCSW
NPI 1316320807
Social Worker - Clinical in Cherry Hill, NJ

Active since July 02, 2015PECOS Enrolled
1930 MARLTON PIKE E STE R91, CHERRY HILL, NJ 08003(856) 816-7114(856) 751-0505 Get Directions Write a Review

NPPES record last updated: July 2, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Conrad Fountaine Lcsw NPPES

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

CONRAD FOUNTAINE LCSW (NPI 1316320807) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (44SC00746700) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1316320807
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCONRAD FOUNTAINECredential: LCSW
Location Address1930 MARLTON PIKE E STE R91Cherry Hill, NJ 08003-4207
Mailing Address1930 Marlton Pike E Ste R91Cherry Hill, NJ 08003-4207 · (856) 816-7114 · Fax (856) 751-0505
Phone(856) 816-7114
Fax(856) 751-0505
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 2, 2015
✔ NPI 1316320807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC00746700
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1930 MARLTON PIKE E STE R91, Cherry Hill, NJ 08003
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conrad Fountaine Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002113701
PECOS Enrollment IDI20160323002102
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Conrad Fountaine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Counseling Services, LLC
Same address
Clinical
1930 MARLTON PIKE EAST, SUITE M 68
Cherry Hill, NJ 08077
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1962550210 (856) 751-0505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Conrad Fountaine's NPI number?

The NPI number for Conrad Fountaine is 1316320807. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Conrad Fountaine located?

Conrad Fountaine practices at 1930 Marlton Pike E Ste R91, Cherry Hill, NJ 08003. The listed phone number is (856) 816-7114.

What is Conrad Fountaine's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Conrad Fountaine enrolled in Medicare?

Yes. Conrad Fountaine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Conrad Fountaine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conrad Fountaine reassigns Medicare benefits to Meridian Counseling Services, LLC (Cherry Hill, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Conrad Fountaine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Conrad Fountaine was last updated on July 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.