Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA M. FOUNTAIN, LCSW
Active Sole ProprietorTINA M. FOUNTAIN, LCSW is a Clinical Social Worker healthcare provider located in RICHMOND, Virginia. NPI 1417944992 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RICHMOND, VA
Registration Details
- NPI Number
- 1417944992
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2005 (20.686936103804 yrs)
- Last Updated
- Feb 27, 2026
- License
-
0904005723 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
612 HULL ST STE 101ARICHMOND, VA, 232244180Browse VA providers · Browse ZIP 23224
- Phone
- 8043515971
- Fax
- 8043515972
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in RICHMOND, VA
| Name | Credential | NPI |
|---|---|---|
| JANINE TURNER | LCSW | 1881691533 |
| MARYANN H COX | LCSW | 1508864778 |
| MARY A TAYLOR | LCSW | 1962401836 |
| MR. ALEXANDER TAYLOR LEVERTY | LCSW | 1780679027 |
| MARY M DALY | LCSW | 1538156013 |
| KAREN E HASBROUCK | LCSW | 1093702581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.