Organization · Type 2 NPI

The Healing Fountain, LLC

Clinical Social Worker · Virginia Beach, VA

NPI number 1609807304 Active

Practice location

291 Independence Blvd Ste 240
Virginia Beach, VA 23462-5475

Fax (757) 486-0901

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed
Marriage & Family Therapist 106H00000XNone listed

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 1609807304

The Healing Fountain, LLC's National Provider Identifier is 1609807304, issued on Jul 5, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia Beach, VA. The record was last updated on Jul 18, 2025.