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

Individual provider Clinical Social Worker · NPI 1811147895

Michelle Fountain, LCSW is a Clinical Social Worker in Santa Rosa, California. Qualified in 2010, 16 years ago. Practices with Sonoma County Indian Health Project Inc, a 30-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2008
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

144 Stony Point Rd
Santa Rosa, CA 95401-4122
Phone: (707) 521-4525
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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 65670 (CA)

Record details

NPI number1811147895
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 25, 2008
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Sonoma County Indian Health Project Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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