Active NPI
Petet O Prinz, LISW
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1215067673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 8667
- Practice address
- 3557 Springdale Rd
BLDG. C
Cincinnati, OH 45251-1314 - Phone
- (513) 922-1660
- Fax
- (513) 922-6230
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 8667 | OH | Primary |
Addresses
Primary practice location
3557 Springdale Rd
BLDG. C
Cincinnati, OH 45251-1314
Mailing address
5936 Glenway Ave
Cincinnati, OH 45238-2009
Phone (513) 922-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8667 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norcen Behavioral Health Systems | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cincinnati, OH
- NPI 1689675324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215067673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5936 GLENWAY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452382009",
"telephone_number": "513-922-1660",
"fax_number": "513-922-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3557 SPRINGDALE RD",
"address_2": "BLDG. C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452511314",
"telephone_number": "513-922-1660",
"fax_number": "513-922-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZ",
"first_name": "PETET",
"middle_name": "O",
"name_prefix": "Mr.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "8667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.