Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clyde Thomas Whitlock Jr.

Individual provider Case Management Agency · NPI 1699254961

Clyde Thomas Whitlock Jr. is a Case Management Agency in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2018

Practice location Address checks out

4009 Fitzhugh Ave Ste 203
Richmond, VA 23230-3953
Phone: (804) 658-2784
Fax: (804) 658-2793
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X · Licence 0698505028 (VA)

Record details

NPI number1699254961
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 8, 2018
Last updated in NPPESAugust 8, 2018

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