National Provider Identifier
Jaimie Lynne Fountain, LMSW, LMHC
Jaimie Lynne Fountain, LMSW, LMHC is listed in the NPPES registry with a primary specialty of Social Worker in Williamsville, NY and a listed phone number of (716) 783-3100.
Profile Overview
- NPI
- 1548094592
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- August 30, 2024
- Last Updated
- August 30, 2024
Practice Location
- 6350 Main St
- Williamsville, NY 14221-5821
Phone: (716) 783-3100
Mailing Address
- 61 June Dr
- Elma, NY 14059-9203
Specialties
- Social Worker (104100000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1548094592
- Entity Type
- Individual
- Last Name
- Fountain
- First Name
- Jaimie
- Middle Name
- Lynne
- Credential
- LMSW, LMHC
- Mailing Street Address
- 61 June Dr
- Mailing City
- Elma
- Mailing State
- NY
- Mailing ZIP Code
- 14059-9203
- Mailing Country
- US
- Mailing Phone
- (716) 864-7052
- Practice Street Address
- 6350 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5821
- Practice Country
- US
- Practice Phone
- (716) 783-3100
- Enumeration Date
- August 30, 2024
- Last Updated
- August 30, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Mental Health Counselor (101YM0800X)