Individual provider Active NPI

Valencia M Pruitt, LMSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1730773938
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4729G Issued in AL
Practice address
2401 Arlington Ave S
Birmingham, AL 35205-4113
Phone
(205) 933-0041
NPI assigned
Feb 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4729G AL Primary

Addresses

Primary practice location

2401 Arlington Ave S
Birmingham, AL 35205-4113

Mailing address

2401 Arlington Ave S
Birmingham, AL 35205-4113
Phone (205) 933-0041

Other practice location 1

2109 Darlington St
Hoover, AL 35226-3007
Phone (205) 249-7048

Other practice location 2

2028 Kentucky Ave
Vestavia Hills, AL 35216-1946
Phone (205) 240-6615

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
4729GALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Center for Eating Disorders CurrentSince Jun 22, 2021 Accepting new patients

Locations

2401 Arlington Ave S
Birmingham, AL 35205
Phone (205) 933-0041

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1730773938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 ARLINGTON AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054113",
            "telephone_number": "205-933-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 ARLINGTON AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054113",
            "telephone_number": "205-933-0041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Darlington St",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352263007",
            "country_code": "US",
            "telephone_number": "205-249-7048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2028 Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352161946",
            "country_code": "US",
            "telephone_number": "205-240-6615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "VALENCIA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4729G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.