Healthcare Provider Details

I. General information

NPI: 1497871461
Provider Name (Legal Business Name): MARK J SINGER, MD, LCSW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 TWINRIDGE LN
RICHMOND VA
23235-5268
US

IV. Provider business mailing address

3200 SAINT MARTINS TRL APT 1111
RICHMOND VA
23294-4919
US

V. Phone/Fax

Practice location:
  • Phone: 804-330-0816
  • Fax:
Mailing address:
  • Phone: 804-615-8565
  • Fax: 804-330-8007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0904000716
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number0904000716
License Number StateVA

VIII. Authorized Official

Name: DR. MARK J SINGER
Title or Position: OWNER
Credential: MD, LCSW
Phone: 804-330-0816