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TINA M. FOUNTAIN LCSW
NPI 1417944992
Social Worker - Clinical in Richmond, VA

Active since September 30, 2005PECOS Enrolled
612 HULL ST STE 101A, RICHMOND, VA 23224(804) 351-5971(804) 351-5972 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Oct 26, 2016 (2 updates tracked since 2016).

About Tina M. Fountain Lcsw NPPES

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

TINA M. FOUNTAIN LCSW (NPI 1417944992) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904005723) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417944992
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTINA M. FOUNTAINCredential: LCSW
Location Address612 HULL ST STE 101ARichmond, VA 23224-4180
Mailing Address3209 Oakington DrRichmond, VA 23231-7267 · (804) 677-0379 · Fax (804) 351-5972
Phone(804) 351-5971
Fax(804) 351-5972
Sole ProprietorYes
Enumeration DateSeptember 30, 2005
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1417944992 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 · 0904005723
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.
612 HULL ST STE 101A, Richmond, VA 23224
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina M. Fountain Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELITE PSYCHOTHERAPY AND BEHAVIORAL HEALTH SERVICES, LLC
Social Worker (Clinical)
612 HULL ST STE 101A
RICHMOND, VA 23224
Richmond City (804) 351-5971

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 Tina Fountain's NPI number?

The NPI number for Tina Fountain is 1417944992. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Tina Fountain located?

Tina Fountain practices at 612 Hull St Ste 101A, Richmond, VA 23224. The listed phone number is (804) 351-5971.

What is Tina Fountain's specialty?

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

Is Tina Fountain enrolled in Medicare?

Yes. Tina Fountain is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Fountain was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.