SUSAN BROSS PRINCE


Address: 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299
Phone: 9012732368

SUSAN BROSS PRINCE (NPI# 1710008396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710008396
Entity Type Individual
Full Name SUSAN BROSS PRINCE
Credential LCSW
Practice Address 3150 Lenox Park Blvd
Suite 214
Memphis
TN 38115-4299
Mailing Address 6946 Amberly Rd
Memphis
TN 38119-6844
Practice Telephone 9012732368
Practice Fax Number 9012732352
Mailing Telephone 9012107463
Mailing Fax Number 9013471330
Enumeration Date 2007-04-02
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
3033 TN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBS 4177584 01
TN 3920072 05

Other Providers SUSAN PRINCE

NPI Name Taxonomy Address Enumeration
1407349483 Susan Prince Occupational Therapist 1016 2nd Ave N Ste 102, North Myrtle Beach, SC 29582-3287 2018-06-13
1255679734 Susan Poe Prince Pharmacist 7700 Vaughn Rd, Montgomery, AL 36116-1337 2013-01-17
1851675227 Susan Christine Prince Registered Nurse 15002 N 32nd St, Phoenix, AZ 85032-4441 2011-10-04
1538498019 Susan J Prince Nurse Practitioner 3501 Golf Rd, Eau Claire, WI 54701-8028 2009-12-14

Office Location

Street Address 3150 LENOX PARK BLVD
SUITE 214
City MEMPHIS
State TN
Zip Code 38115-4299

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730184474 Vicki Lynne Mccall Counselor 3150 Lenox Park Blvd, Ste 214, Memphis, TN 38115-4299 2005-06-17
1699002238 Sycare, LLC Nurse Practitioner 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2009-11-03
1134367535 Anita D Boykins Nurse Practitioner 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2009-01-23
1477708543 David C Dietrich Psychologist 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2008-11-17
1811141047 Lindalee F Thomas Nurse Practitioner 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2008-11-14
1720245939 Symed Counseling Services, LLC Social Worker 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2008-05-16
1073780250 Symed Counseling Services, LLC Psychologist 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2008-05-15
1619149739 Symed Nc, LLC Psychiatry & Neurology 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2008-03-28
1154451144 Symed, LLC Psychiatry & Neurology 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2007-03-07
1518096601 Symed, LLC Social Worker 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 2007-03-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891315370 Janell Lennice C Jackson Pharmacist 3670 Riverdale Road, Memphis, TN 38115 2020-04-24
1982246393 A.y Nunley Technician 5614 Crepe Myrtle Drive, Memphis, TN 38115 2019-10-17
1114580776 Dee's Around The Clock Home Health Aide 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 2019-04-19
1679047476 Demetria S Summers Home Health 6099 Appletree, Suite35, Memphis, TN 38115 2019-01-15
1134698590 Patriot Healthcare of Tennessee, LLC Family Medicine 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 2018-11-15
1891293106 Decrese A Beverly Counselor 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 2018-02-01
1720597289 Frank A Taylor Jr. Nutritionist 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 2017-09-27
1255717260 Mary L Avery Social Worker 5563 Knight Arnold Rd., Memphis, TN 38115 2015-08-03
1104207166 Good Shepherd Medication Management Pharmacy 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 2015-06-16
1265811665 Good Shepherd Health Pharmacy 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 2015-05-19
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942814306 Hinda Rashki Osina Social Worker 5344 Brantford Ave, Memphis, TN 38120-2440 2020-09-03
1740893130 Longmire Counseling Services, LLC Social Worker 1331 Union Ave Ste 1012, Memphis, TN 38104-7509 2020-08-26
1619595519 Pha'meshia Calico Social Worker 3687 Paradise Lake Drive, Memphis, TN 38115-3811 2020-07-08
1609404599 Amanda Lorelle Gitomer Social Worker 5395 Estate Office Dr Ste 15395, Memphis, TN 38119-0614 2020-03-28
1730748476 Anne Renee Dillard Social Worker 5050 Poplar Ave Ste 1118, Memphis, TN 38157-1118 2019-06-06
1477111797 Karen Elaine Dotson Social Worker 1039 Bluebird Rd, Memphis, TN 38116-4003 2019-06-01
1689150393 Lauren Byrd Hansen Social Worker 4136 Philwood Ave, Memphis, TN 38122-3913 2018-07-16
1487164356 Robert Brian Dove Social Worker 4515 Poplar Ave Ste 419, Memphis, TN 38117-7508 2017-10-05
1760991038 Crystal Dinesse Deberry Social Worker 4821 American Way Ste 200g, Memphis, TN 38118-2471 2017-09-29
1780103010 Brittney Scantling Social Worker 1689 Nonconnah Blvd Ste 100, Memphis, TN 38132-2111 2017-09-19
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Competitor

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City MEMPHIS
Zip Code 38115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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