Active NPI
Zuleika Aldridge Prince, LCSW
- Clinical Social Worker
- Stockbridge, GA
National Provider Identifier
1386876365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004414
- Practice address
- 157 Burke St Ste 107
Stockbridge, GA 30281-3439 - Phone
- (404) 919-3868
- NPI assigned
- Aug 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C006352 | NC | |
| Clinical Social Worker | 1041C0700X | CSW004414 | GA | Primary |
Addresses
Primary practice location
157 Burke St Ste 107
Stockbridge, GA 30281-3439
Mailing address
157 Burke St Ste 107
Stockbridge, GA 30281-3439
Phone (404) 919-3868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13576793 | Other | CAQH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C006352 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1386876365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 BURKE ST STE 107",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813439",
"telephone_number": "404-919-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 BURKE ST STE 107",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813439",
"telephone_number": "404-919-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "ZULEIKA",
"middle_name": "ALDRIDGE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C006352",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13576793",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
- Taryn Marie Prestidge, NP-C
- Christina Price-Jackson, D.O.
- Antoinette Ladawn Price, MD, MPH
- Priceless Empowerment LLC
- Prime Direct Care
- Tawnya Lynette Pringle
- Priority One EMS LLC
- Proactive Screening Solutions LLC
- Professional Behavioral Health and Associates, LLC
- Professional Dental Alliance of Stockbridge, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.