Active NPI
Marcia Helene Prinz, LCSW
- Clinical Social Worker
- West Linn, OR
National Provider Identifier
1396871802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 2622 York St
West Linn, OR 97068-3831 - Phone
- (650) 889-0169
- Fax
- (971) 206-8842
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 60841 | CA | |
| Professional Counselor | 101YP2500X | 60841 | CA | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2622 York St
West Linn, OR 97068-3831
Mailing address
2622 York St
West Linn, OR 97068-3831
Phone (650) 889-0169
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marcia@artofwellnesstherapist.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1396871802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 YORK ST",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683831",
"telephone_number": "650-889-0169",
"fax_number": "971-206-8842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 YORK ST",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970683831",
"telephone_number": "650-889-0169",
"fax_number": "971-206-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZ",
"first_name": "MARCIA",
"middle_name": "HELENE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "60841",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "60841",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marcia@artofwellnesstherapist.com",
"affiliation": "N",
"endpointDescription": "Confidential email",
"address_1": "2622 York St",
"city": "West Linn",
"state": "OR",
"country_code": "US",
"postal_code": "970683831",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.