Individual provider Active NPI

Renee Marie Prince, MSW, LSW

  • Social Worker
  • Basalt, CO
National Provider Identifier
1316811425
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW0009926616 Issued in CO
Practice address
207 Basalt Center Circle, Unit 201
Basalt, CO 81621
Phone
(719) 480-3024
NPI assigned
Oct 1, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW0009926616 CO Primary

Addresses

Primary practice location

207 Basalt Center Circle, Unit 201
Basalt, CO 81621

Mailing address

257 Mountain CT
Basalt, CO 81621-9277
Phone (719) 480-3024

Other practice location 1

520 S 3rd St
Carbondale, CO 81623-2059
Phone (719) 480-3024

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

LicenseStateTypeSpecialty
LSW0009926616COMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1316811425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MOUNTAIN CT",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816219277",
            "telephone_number": "719-480-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BASALT CENTER CIRCLE, UNIT 201",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "719-480-3024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "CO",
            "postal_code": "816232059",
            "country_code": "US",
            "telephone_number": "719-480-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW0009926616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.