Shadaria Rene Prince, LCSW is a
Social Worker - Clinical based in Fresno, California. Shadaria Rene Prince is licensed to practice in California (license number LCSW94800) and her current practice location is
2600 Ventura St Ste 110, Fresno, California. She can be reached at her office (for appointments etc.) via phone at
(310) 654-9835.
NPI number for Shadaria Rene Prince is 1669872578 and her current mailing address is 4183 W Weldon Ave, Fresno, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669872578.
Healthcare Provider's Profile
Full Name | Shadaria Rene Prince |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2600 Ventura St Ste 110, Fresno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669872578
- Provider Enumeration Date: 08/27/2014
- Last Update Date: 07/07/2023
Medical Identifiers
Medical identifiers for Shadaria Rene Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669872578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | ASW67543 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW94800 (California) | 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. Shadaria Rene Prince 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 |
Shadaria Rene Prince, LCSW 4183 W Weldon Ave, Fresno, CA 93722-6893 Ph: (310) 654-9835 | Shadaria Rene Prince, LCSW 2600 Ventura St Ste 110, Fresno, CA 93721-3041 Ph: (310) 654-9835 |
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