Individual provider · Type 1 NPI

Tina M. Fountain, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1417944992 Active

Practice location

612 Hull St Ste 101A
Richmond, VA 23224-4180

Call (804) 351-5971 Map

Fax (804) 351-5972

Mailing address

3209 Oakington Dr
Richmond, VA 23231-7267

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904005723 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1417944992

Tina M. Fountain, LCSW's National Provider Identifier is 1417944992, issued on Sep 30, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Feb 27, 2026.