Kevin Duran Fauntleroy Jr, MSW, ASW is a
Social Worker based in Martinez, California. Kevin Duran Fauntleroy Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
25 Allen St, Suite B, Martinez, California. He can be reached at his office (for appointments etc.) via phone at
(925) 276-5853.
NPI number for Kevin Duran Fauntleroy Jr is 1114631611 and his current mailing address is 25 Allen St, Suite B, Martinez, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114631611.
Healthcare Provider's Profile
| Full Name | Kevin Duran Fauntleroy Jr |
|---|
| Gender | Male |
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| Speciality | Social Worker |
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| Location | 25 Allen St, Martinez, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114631611
- Provider Enumeration Date: 01/09/2023
- Last Update Date: 02/20/2024
Medical Identifiers
Medical identifiers for Kevin Duran Fauntleroy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114631611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Duran Fauntleroy Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Duran Fauntleroy Jr, MSW, ASW
25 Allen St, Suite B,
Martinez, CA 94553
Ph: (925) 276-5853 | Kevin Duran Fauntleroy Jr, MSW, ASW
25 Allen St, Suite B,
Martinez, CA 94553
Ph: (925) 276-5853 |
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