Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Conrad Fountaine, LCSW

Individual provider Clinical Social Worker · NPI 1316320807

Conrad Fountaine, LCSW is a Clinical Social Worker in Cherry Hill, New Jersey. Qualified in 1978, 48 years ago. Practices with Meridian Counseling Services, LLC, a 13-clinician group. Licensed in New Jersey.

Years since qualifying
48
Licensed in
NJ
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1930 Marlton Pike E Ste R91
Cherry Hill, NJ 08003-4207
Phone: (856) 816-7114
Fax: (856) 751-0505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC00746700 (NJ)

Record details

NPI number1316320807
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 2, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Meridian Counseling Services, Llc — 13 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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