| Mrs Diana Lynn Pruitt, LCSW, CCADC | |
|
2302 Highland Ave, Irondale, AL 35210-1013 | |
| (404) 423-6262 | |
| Not Available |
| Full Name | Mrs Diana Lynn Pruitt |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2302 Highland Ave, Irondale, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699836734 | NPI | - | NPPES |
| 181768916A | Medicaid | GA | |
| 4011C | Other | AL | LCSW LICENSE |
| 34008849A | Other | IN | LCSW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003433 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Diana Lynn Pruitt, LCSW, CCADC 2302 Highland Ave, Irondale, AL 35210-1013 Ph: (404) 423-6262 | Mrs Diana Lynn Pruitt, LCSW, CCADC 2302 Highland Ave, Irondale, AL 35210-1013 Ph: (404) 423-6262 |
Celi Ragland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 Crestwood Blvd, Irondale, AL 35210 Phone: 205-933-8101 | |
Michaela Nolin, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1830 Montclair Rd Ste A, Irondale, AL 35210 Phone: 205-775-0300 Fax: 205-618-9706 | |
Aniya L Mcgee, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7901 Crestwood Blvd, Irondale, AL 35210 Phone: 205-401-3249 |