Innovative Care LLC
Social Worker, Clinical in Midlothian, VA. Organization (NPI-2).
NPI number1689202012
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1689202012
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Care LLC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2020
- Certification date
- Feb 26, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
Innovative Care LLC5712 Oak Knoll Rd.
Midlothian, VA 23112-2400
Phone 804-608-6577 · Fax 855-700-5593
Mailing address
Innovative Care LLC5712 Oak Knoll Rd.
Midlothian, VA 23112-2400
Phone 804-608-9704 · Fax 855-700-5593
Authorized official
Autumn Benson Richardson
Owner/Ceo
8046089704
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