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Ms. Grace A. Prudom, LCSW
Clinical Social Worker in South Boston, Virginia
NPI 1891979308

Grace A. Prudom is a Clinical Social Worker based in South Boston, VA and is specialized in Clinical. Grace A. Prudom practices in South Boston, VA and has the professional credentials of LCSW. The NPI Number for Grace A. Prudom is 1891979308 and holds a License No. 0904004773 (Virginia).

The current practice location address for Grace A. Prudom is 424 Hamilton Blvd., South Boston, VA and can be reached out via phone at 434-572-2936 and via fax at 434-572-4881.

Location: 424 Hamilton Blvd., South Boston, VA, 24592-0488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891979308
Provider Name
Grace A. Prudom
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
424 Hamilton Blvd., South Boston, VA, 24592-0488
Phone Number
434-572-2936
Fax Number
434-572-4881
Provider Enumeration Date
12/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
317572 01 VA ANTHEM - HALIFAX
1700890761 - GR. NPI 05 VA
O83458A 01 VA SENTARA - MECK
O83458B 01 VA SENTARA - HALIFAX
317571 01 VA ANTHEM - MECK
317573 01 VA ANTHEM - BRUN
O83458 01 VA SENTARA - BRUN
institution
Provider Business Practice Location Address Details
Address
424 Hamilton Blvd.
City
South Boston
State
Virginia
Zip
24592-0488
Phone Number
434-572-2936
Fax Number
434-572-4881
person
Provider Business Mailing Address Details
Address
424 Hamilton Blvd.
City
South Boston
State
Virginia
Zip
24592-0488
Phone Number
434-572-2936
Fax Number
434-572-4881
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
0904004773 (Virginia)
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.
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