Prince Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRINCE PSYCHOTHERAPY

Practice address

512 S Lynnhaven Road
Ste 101
Virginia Beach, VA 23452-6664

Phone

(757) 306-4232

Fax

(757) 306-4235

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael S Prince, LCSWNPI 1295753630

Title

LCSW/Owner

Phone

(757) 306-4232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael S Prince, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1295753630
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1356035000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 S LYNNHAVEN ROAD",
            "address_2": "STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526664",
            "telephone_number": "757-306-4232",
            "fax_number": "757-306-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S LYNNHAVEN ROAD",
            "address_2": "STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526664",
            "telephone_number": "757-306-4232",
            "fax_number": "757-306-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "757-306-4232",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Care Consultants LLC
• Prime Interventions LLC
• Prime Orthodontics PLLC
• Prime Orthodontics PLLC
• Primecare Internal Medicine PC
• Michael S Prince, LCSW
• Princeking Home Care LLC
• Princess Anne Ambulatory Surgery Management LLC (Princess Anne Ambulatory Surgery Center)
• Princess Anne ENT & Allergy, PC.
• Princess Anne H&R Ops Limited Partnership (Princess Anne Health & Rehabilitation Center)

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.