Ms Grace A Prudom, LCSW in South Boston, VA

Ms Grace A Prudom, LCSW is a Social Worker - Clinical based in South Boston, Virginia. Ms Grace A Prudom is licensed to practice in Virginia (license number 0904004773) and her current practice location is 424 Hamilton Blvd., South Boston, Virginia. She can be reached at her office (for appointments etc.) via phone at (434) 572-2936.

NPI number for Ms Grace A Prudom is 1891979308 and her current mailing address is Po Box 488, South Boston, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891979308.

Contact Information

	Ms Grace A Prudom, LCSW
	424 Hamilton Blvd., South Boston, VA 24592-0488
	(434) 572-2936
	(434) 572-4881

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Grace A Prudom
Gender	Female
Speciality	Social Worker - Clinical
Location	424 Hamilton Blvd., South Boston, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1891979308
Provider Enumeration Date: 12/19/2007
Last Update Date: 12/19/2007

Medical Identifiers

Medical identifiers for Ms Grace A Prudom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891979308	NPI	-	NPPES
317572	Other	VA	ANTHEM - HALIFAX
1700890761 - GR. NPI	Medicaid	VA
O83458A	Other	VA	SENTARA - MECK
O83458B	Other	VA	SENTARA - HALIFAX
317571	Other	VA	ANTHEM - MECK
317573	Other	VA	ANTHEM - BRUN
O83458	Other	VA	SENTARA - BRUN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904004773 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Grace A Prudom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Grace A Prudom, LCSW Po Box 488, South Boston, VA 24592-0488 Ph: (434) 572-2936	Ms Grace A Prudom, LCSW 424 Hamilton Blvd., South Boston, VA 24592-0488 Ph: (434) 572-2936

Reviews and Comments

Social Worker in South Boston, VA

Ms. Jane C Rose, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 515 Yancey St, South Boston, VA 24592 Phone: 434-575-8255 Fax: 434-572-1616
Mr. Marcus Bates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 424 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-2936 Fax: 434-572-4881
Theresa Gay Duffey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1627 Seymour Dr, South Boston, VA 24592 Phone: 434-575-1336 Fax: 434-575-1349
Novella S Beaver, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 424 Hamilton Blvd, South Boston, VA 24592 Phone: 434-572-2936 Fax: 434-572-4665
Felicia Jeanette Bowman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2163 Sandy Beach Rd, South Boston, VA 24592 Phone: 434-222-7239
Anna Gerard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3046 Carlbrook Rd, South Boston, VA 24592 Phone: 434-476-2406
Ms. Debra Coates Savage, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3401 Old Halifax Rd, Suite F, South Boston, VA 24592 Phone: 434-575-3017 Fax: 434-575-3023

Ms Grace A Prudom, LCSW - Clinical Social Worker in South Boston, VA