Active NPIIndividual providerSole proprietor

Joan E Prugh, MSW, LICSW

Social Worker, Clinical in Provincetown, Massachusetts

NPI Number1114011160
Practice location
17 Brewster St, Provincetown, MA 02657-1603
Fax
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Last updated
January 16, 2025

Joan E Prugh is a Social Worker, Clinical based in Provincetown, MA. Joan E Prugh practices in Provincetown, MA and has the professional credentials of MSW, LICSW. The NPI Number for Joan E Prugh is 1114011160 and holds a License No. 000531 (CT). The current practice location address for Joan E Prugh is 17 Brewster St, Provincetown, MA 02657-1603 and can be reached out via phone at 860-450-9789.

Provider Profile Details

NPI Number
1114011160
Provider Name
Joan E Prugh
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
17 Brewster St, Provincetown, MA 02657-1603
Phone Number
860-450-9789
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
January 16, 2025
Certification Date
January 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Brewster St
Provincetown, MA 02657-1603
Zip
02657-1603
Phone Number
860-450-9789
Provincetown, MA 02657Get directions →

Provider Business Mailing Address Details

Address
17 Brewster St
Provincetown, MA 02657-1603
City
Provincetown
State
MA
Zip
02657-1603
Phone Number
860-450-9789

License Information

License Number (1)
000531
License State (1)
CT
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
116008
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joan E Prugh, MSW, LICSW?

The NPI number of Joan E Prugh, MSW, LICSW is 1114011160. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Joan E Prugh, MSW, LICSW?

Joan E Prugh, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 000531.

Where does Joan E Prugh, MSW, LICSW practice?

The practice location is 17 Brewster St, Provincetown, MA 02657-1603. The office can be reached at 860-450-9789 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114011160 directly on the NPPES registry website.

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