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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
3033 | TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 4177584 | 01 |
TN | 3920072 | 05 |
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 |
Street Address |
3150 LENOX PARK BLVD SUITE 214 |
City | MEMPHIS |
State | TN |
Zip Code | 38115-4299 |
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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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 |
Find all providers in zip 38115 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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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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.