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NOTORIETY, LLC
NPI 1033539820
Social Worker - Clinical in Richmond, VA

Active since April 21, 2014
715 E 4TH ST # F28, RICHMOND, VA 23224(804) 901-6928(804) 414-7733 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Notoriety, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOTORIETY, LLC (NPI 1033539820) is a healthcare organization registered as a clinical in Richmond, Virginia and active in the NPI registry since April 2014. The organization lists Trina Bernnadette Davis-fortune, Owner, as its authorized official.

NPPES Registry Identity

NPI1033539820
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNOTORIETY, LLC
Location Address715 E 4TH ST # F28Richmond, VA 23224-5559
Mailing Address715 E 4th St # F28Richmond, VA 23224-5559 · (804) 901-6928 · Fax (804) 414-7733
Phone(804) 901-6928
Fax(804) 414-7733
Organization SubpartNo
Authorized OfficialTrina Bernnadette Davis-fortuneOwner · (804) 901-6928
Enumeration DateApril 21, 2014
✔ NPI 1033539820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904008281
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
715 E 4TH ST # F28, Richmond, VA 23224
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Other Identifiers 1

Medicaid1174959969VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Notoriety, LLC's NPI number?

The NPI number for Notoriety, LLC is 1033539820. It was assigned to this organization in the NPPES registry on April 21, 2014.

Where is Notoriety, LLC located?

Notoriety, LLC is located at 715 E 4th St # F28, Richmond, VA 23224. The listed phone number is (804) 901-6928.

What is Notoriety, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Notoriety, LLC was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.