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

Individual provider Clinical Social Worker · NPI 1437504966

Victoria Lynn Fountain is a Clinical Social Worker in Powder Springs, Georgia. Qualified in 1991, 35 years ago. Practices with Mental Health Specialty Group PA, a 679-clinician group. Licensed in Georgia.

Years since qualifying
35
Licensed in
GA
In the registry since
2016
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Practice location Address checks out

47 Lakeland Ct
Powder Springs, GA 30127-8774
Phone: (678) 717-7952
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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 CSW005684 (GA)

Record details

NPI number1437504966
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2016
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Mental Health Specialty Group Pa — 679 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Powder Springs