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

Miss. Perry Townsend Fountain, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1457904054

Miss. Perry Townsend Fountain, MSW, LCSW is a Clinical Social Worker in Raleigh, North Carolina. Qualified in 2019, 7 years ago. Practices with Avance Care PA, a 244-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

815 Oberlin Rd Ste 200
Raleigh, NC 27605-1351
Phone: (919) 322-4722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3012 Falstaff Rd, Raleigh, NC 27610-1813 — (919) 615-1027

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CO14567 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P013521 (NC)

Record details

NPI number1457904054
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Avance Care Pa — 244 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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