Individual provider Active NPI

Fountain Dennis Yount, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1346678695
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW66099 Issued in CA
Practice address
444 N Larchmont Blvd
Suite 109
Los Angeles, CA 90004-3000
Phone
(323) 380-6086
NPI assigned
Oct 24, 2013
Last updated
Jul 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW66099 CA Primary

Addresses

Primary practice location

444 N Larchmont Blvd
Suite 109
Los Angeles, CA 90004-3000

Mailing address

444 N Larchmont Blvd
Suite 109
Los Angeles, CA 90004-3000
Phone (323) 380-6086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW66099CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1346678695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N LARCHMONT BLVD",
            "address_2": "SUITE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043000",
            "telephone_number": "323-380-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N LARCHMONT BLVD",
            "address_2": "SUITE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043000",
            "telephone_number": "323-380-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNT",
        "first_name": "FOUNTAIN",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-24",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW66099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.