Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kevin Duran Fauntleroy Jr., MSW, ASW

Individual provider Mental Health Counselor · NPI 1114631611

Kevin Duran Fauntleroy Jr., MSW, ASW is a Mental Health Counselor in Oakland, California. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

280 17th St
Oakland, CA 94612-4124
Phone: (510) 238-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1114631611
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , ASW
Sole proprietorYes
NPI enumeratedJanuary 9, 2023
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

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