Camille Christine Fountain-Sykes, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LG200001467 Issued in DC

Practice address

3405 39TH Avenue
Colmar Manor, MD 20722-2007

Phone

(202) 550-3039

Fax

(301) 985-4099

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Power Counseling PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Waldorf, MD
  • NPI 1932658242
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1225767221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 39TH AVENUE",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207222007",
            "telephone_number": "202-550-3039",
            "fax_number": "301-985-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 39TH AVENUE",
            "city": "COLMAR MANOR",
            "state": "MD",
            "postal_code": "207222007",
            "telephone_number": "202-550-3039",
            "fax_number": "301-985-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN-SYKES",
        "first_name": "CAMILLE",
        "middle_name": "CHRISTINE",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200001467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kofi Osei Ayim-Darko
• Rachelle Elaine Barrett Toman, M.D., PH.D.
• Aerielle Booker
• Tracy Cassagnol, MD
• Kharastin Lyric Chea-Howard, MD, MPH
• William Gallagher, MD
• Aaron Michael Gerstenmaier, M.D.
• Elizabeth Ann Hayden, PHARMD
• Oscar Fernando Hernandez, DO
• Jamie Lynn Hill-Daniel, MD

• Social Worker in Colmar Manor, MD
• Providers in Colmar Manor, MD by specialty
• Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.