Healthcare Provider Details

I. General information

NPI: 1609703461
Provider Name (Legal Business Name): CAITLYN RIAN LAWSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2727 ENTERPRISE PKWY
RICHMOND VA
23294-6341
US

IV. Provider business mailing address

7460 CENTRAL BUSINESS PARK DR
NORFOLK VA
23513-2818
US

V. Phone/Fax

Practice location:
  • Phone: 804-372-0151
  • Fax: 804-912-2163
Mailing address:
  • Phone: 804-372-0151
  • Fax: 804-912-2163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020312
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: