Individual provider · Type 1 NPI
Grace A. Prudom, LCSW
Clinical Social Worker · South Boston, VA
Practice location
424 Hamilton Blvd.
South Boston, VA 24592-0488
Fax (434) 572-4881
Mailing address
PO Box 488
South Boston, VA 24592-0488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904004773 (VA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
2 other providers at this address
Other clinical social worker providers in South Boston
- Jane C. Rose, LCSWClinical Social Worker South Boston, VA NPI 1053379602
- Marcus Bates, LCSWClinical Social Worker South Boston, VA NPI 1144553405
- Theresa Gay Duffey, LCSWClinical Social Worker South Boston, VA NPI 1184120164
- Novella S. Beaver, LCSWClinical Social Worker South Boston, VA NPI 1205845286
- Felicia Jeanette Bowman, LCSWClinical Social Worker South Boston, VA NPI 1447846688
- Debra Coates Savage, LCSWClinical Social Worker South Boston, VA NPI 1750318895
- Joseph D. Orenstein, MSW, LCSW-CClinical Social Worker South Boston, VA NPI 1891967899
- Ruth Simon, LCSWClinical Social Worker South Boston, VA NPI 1982069621
About NPI 1891979308
Grace A. Prudom, LCSW's National Provider Identifier is 1891979308, issued on Dec 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Boston, VA. The record was last updated on Dec 19, 2007.