Healthcare Provider Details

I. General information

NPI: 1073568937
Provider Name (Legal Business Name): JUDITH G. CAPLAN,LCSW,CSAC,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 BREMO RD SUITE 100
RICHMOND VA
23226-2440
US

IV. Provider business mailing address

2000 BREMO RD SUITE 100
RICHMOND VA
23226-2440
US

V. Phone/Fax

Practice location:
  • Phone: 804-288-1337
  • Fax: 804-288-0277
Mailing address:
  • Phone: 804-288-1337
  • Fax: 804-288-0277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904003258
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710001228
License Number StateVA

VIII. Authorized Official

Name: MS. JUDITH G. CAPLAN
Title or Position: SOLE MEMBER
Credential: LCSW, CSAC
Phone: 804-288-1337