Angela D. Pruitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6668-C Issued in AR

Practice address

47 Pin Oak Loop
Maumelle, AR 72113-6854

Phone

(501) 454-0065

NPI assigned

Jul 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1275723355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PIN OAK LOOP",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136854",
            "telephone_number": "501-454-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PIN OAK LOOP",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136854",
            "telephone_number": "501-454-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "ANGELA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "6668-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Thomas Phillips, D.O.
• Tyler Pitchford, PHARM.D.
• Anna Prewitt, APRN
• Daniel P. Pritchett, M.D.
• Promed Logistics, LLC
• Kenzy Noel Quearry, COTA
• Ina Beth Resimont, MS, LAT, ATC
• Patricia Rich, NP
• Justin Cole Richard
• Shawn Michael Richard

• Clinical Social Worker in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.