AMY ELIZABETH PRUDENCIO LCSW NPI 1295244242

NPI Information

NPI: 1295244242
Provider Name: AMY ELIZABETH PRUDENCIO, LCSW
Classification: Social Worker - 1041S0200X
Entity Type: Individual

Specialization: School

Address:
1301 E. WALNUT STREET
CARBONDALE, IL
ZIP 62901
Phone: (618) 457-3371
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Amy Elizabeth Prudencio, LCSW is a school social worker in Carbondale, IL. Amy Elizabeth Prudencio, LCSW NPI is 1295244242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 E. WALNUT STREET
CARBONDALE, IL
ZIP 62901
Phone: (618) 457-3371
Fax: (618) 549-1608

The enumeration date for this NPI number is 9/21/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041S0200X	Social Worker	School	149014863	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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