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Individual

ANN PRINDIVILLE

Active
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Individual

ANN PRINDIVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW21544
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LCS 21544
PROFESSIONAL LICENSE#
CA
01
ZZZ91891Z
MEDICARE GROUP ID#
CA
01
ZZZ91892Z
MEDICARE GROUP ID#
CA
01
ZZZ92069Z
MEDICARE GROUP ID#
CA
01
ZZZ92073Z
MEDCIARE GROUP ID#
CA
Enumeration date
09/20/2006
Last updated
09/20/2018
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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