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MALLORY FOUNTAIN LMSW
NPI 1528618725
Social Worker in Kalamazoo, MI

Active since September 19, 2019Opted out of Medicare · through Jul 1, 2028
229 E MICHIGAN AVE STE 345, KALAMAZOO, MI 49007(269) 254-6613 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2023, May 3, 2021, Sep 19, 2019 (3 updates tracked since 2019).

About Mallory Fountain Lmsw NPPES

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

MALLORY FOUNTAIN LMSW (NPI 1528618725) is an individual social worker in Kalamazoo, Michigan, licensed in Michigan (6801105102) and active in the NPI registry since September 2019. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1528618725
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMALLORY FOUNTAINCredential: LMSW
Location Address229 E MICHIGAN AVE STE 345Kalamazoo, MI 49007-6403
Mailing Address229 E Michigan Ave Ste 345Kalamazoo, MI 49007-6403 · (269) 370-9074
Phone(269) 254-6613
Sole ProprietorNo
Enumeration DateSeptember 19, 2019
Last NPPES UpdateApril 11, 20233 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1528618725 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 · 6801105102
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.
229 E MICHIGAN AVE STE 345, Kalamazoo, MI 49007
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mallory Fountain Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

MAUREEN BAUSCHKE LMSW
Community/Behavioral Health
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (269) 350-4597
CHRISTINA COLLINS LPC
Counselor
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (269) 254-6613
CAITLIN MARIE REED
Social Worker (Clinical)
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (989) 670-1751
MALLORY BROOKE MAYER
Social Worker (Clinical)
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (269) 993-4373
DR. AMY SUZANNE VLIEK MSW
Social Worker (Clinical)
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (269) 254-6613
MARY BRIGETTE SITARSKI LPC
Counselor
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (269) 993-4373
YASMINE FORD
Social Worker
229 E MICHIGAN AVE STE 345
KALAMAZOO, MI 49007
Kalamazoo County (269) 254-6613

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 Mallory Fountain's NPI number?

The NPI number for Mallory Fountain is 1528618725. It was assigned to this individual provider in the NPPES registry on September 19, 2019.

Where is Mallory Fountain located?

Mallory Fountain practices at 229 E Michigan Ave Ste 345, Kalamazoo, MI 49007. The listed phone number is (269) 254-6613.

What is Mallory Fountain's specialty?

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

Is Mallory Fountain enrolled in Medicare?

No. Mallory Fountain has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mallory Fountain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mallory Fountain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Fountain was last updated on April 11, 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.