Healthcare Provider Details

I. General information

NPI: 1184537086
Provider Name (Legal Business Name): IRES FOLEY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 W GRACE ST STE 104
RICHMOND VA
23226-1832
US

IV. Provider business mailing address

5700 W GRACE ST STE 104
RICHMOND VA
23226-1832
US

V. Phone/Fax

Practice location:
  • Phone: 804-297-5206
  • Fax: 804-359-0029
Mailing address:
  • Phone: 804-297-5206
  • Fax: 804-359-0029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904021044
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: