Active NPI
Tides Therapy, LLC
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1073412508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- TIDES THERAPY, LLC
- Practice address
- 1805 Chantilly St Ste 123
Richmond, VA 23230-3501 - Phone
- (804) 404-6219
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annalee Heneghan, LCSW
- Title
- Owner/Therapist
- Phone
- (443) 690-9618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1805 Chantilly St Ste 123
Richmond, VA 23230-3501
Mailing address
1805 Chantilly St Ste 123
Richmond, VA 23230-3501
Phone (804) 404-6219
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1194421263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1073412508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 CHANTILLY ST STE 123",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303501",
"telephone_number": "804-404-6219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 CHANTILLY ST STE 123",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303501",
"telephone_number": "804-404-6219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIDES THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A",
"authorized_official_last_name": "HENEGHAN",
"authorized_official_first_name": "ANNALEE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "443-690-9618",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
- Stephen E Thurston, M.D.
- Carol J Tibbals, WHCNP
- Christine Capps Tice, LCSW
- Archer O Ticer, PT
- Kathryn Elizabeth Ticknor
- Tidewater Physical Therapy LLC (Pivot Physical Therapy of Virginia)
- Tidewater Physical Therapy LLC (Pivot Physical Therapy of Virginia)
- Tidewater Physical Therapy, LLC
- Tidewater Physical Therapy, LLC
- Tidewater Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.