Douglas R. Princehorn, MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-1000365-S Issued in OH

Practice address

3011 Akron Rd
Wooster, OH 44691-7904

Phone

(800) 638-3232

Fax

(330) 202-3878

NPI assigned

May 5, 2008

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Therapy Center LLCGroup PAC ID 0840712295, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Therapy Center LLC

  • Social Worker
  • Wooster, OH
  • NPI 1093856494
  Medicare reassignment Care Compare group
• Village Network

  dba The Village Network

  • Voluntary or Charitable Agency
  • Wooster, OH
  • NPI 1093103988
  NPD
• Village Network

  dba The Village Network

  • Voluntary or Charitable Agency
  • Wooster, OH
  • NPI 1124057914
  NPD

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1699941120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 DEER CREEK DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917421",
            "telephone_number": "330-479-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 AKRON RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917904",
            "telephone_number": "800-638-3232",
            "fax_number": "330-202-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCEHORN",
        "first_name": "DOUGLAS",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0800068",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-1000365-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Prayson
• Premier Pharmacy Services, Inc. (Wayne Holmes Health)
• Prentke Romich Company
• Jenny Preston, M.ED., LPCC
• Alexis Dannielle Price
• Heather Elaine Pringle, LSW
• Natasha Pritchett, CDCA
• Juan Miguel Proano, M.D.
• Professional Counseling Associates, LLC (Behavioral Health Professional)
• Progressive Pines LLC (Glendora - Laboratory)

• Clinical Social Worker in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.