Ann M. Pruefer, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01081 Issued in RI

Practice address

540 Greenville Ave
Johnston, RI 02919-2217

Phone

(401) 232-0218

Fax

(401) 331-5949

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255495271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 GREENVILLE AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192217",
            "telephone_number": "401-232-0218",
            "fax_number": "401-331-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 GREENVILLE AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192217",
            "telephone_number": "401-232-0218",
            "fax_number": "401-331-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUEFER",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6246222",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1034930",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00000241661",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Podiatry Specialists of Ri
• Dieter Pohl, M.D.
• Lori G Polacek, MD
• Ann M Porto, PSY.D.
• Prospect Blackstone Valley Surgicare, LLC
• Eric Michael Prytula, O.D.
• Albert Puerini III, PHARMD.
• Ashley Victoria Quelch, LMHCA
• Quest Diagnostics LLC
• Kristen Quinlan, RN

• Clinical Social Worker in Johnston, RI
• Providers in Johnston, RI by specialty
• Clinical Social Worker in Rhode Island

• 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.

Verify at the official NPI Registry.