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

Individual provider Clinical Social Worker · NPI 1417944992

Tina M. Fountain, LCSW is a Clinical Social Worker in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2005
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

612 Hull St Ste 101A
Richmond, VA 23224-4180
Phone: (804) 351-5971
Fax: (804) 351-5972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904005723 (VA)

Record details

NPI number1417944992
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 30, 2005
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

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