MEDICARE: FAMILY SOLUTIONS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1174168009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY SOLUTIONS, INC

Provider Business Mailing Address
First Line	:	PO BOX 42061
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-9061
Country	:	US
Telephone Number	:	804-221-0003
Fax Number	:	804-200-5366

Provider Business Practice Location Address
First Line	:	1625 N WHITE MOUNTAIN DR
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-3007
Country	:	US
Telephone Number	:	804-221-0003
Fax Number	:	804-200-5366

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MS. CRAIJETTA E LEWIS
Credential	:	LCSW
Telephone Number	:	804-221-0003

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	11/14/2019

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Directions to “FAMILY SOLUTIONS, INC ” Practice Location

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