Active NPI
Amanda Prize
- Clinical Social Worker
- Port Huron, MI
National Provider Identifier
1780827550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801091317
- Practice address
- 2186 Water St
Port Huron, MI 48060-2543 - Phone
- (810) 216-9470
- NPI assigned
- Apr 9, 2009
- Last updated
- Aug 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801091317 | MI | Primary |
Addresses
Primary practice location
2186 Water St
Port Huron, MI 48060-2543
Mailing address
2186 Water St
Port Huron, MI 48060-2543
Phone (810) 216-9470
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801091317 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1780827550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2186 WATER ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480602543",
"telephone_number": "810-216-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2186 WATER ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480602543",
"telephone_number": "810-216-9470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIZE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801091317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Huron, MI
- Prime Healthcare Services-Port Huron LLC
- Prime Healthcare Services-Port Huron LLC
- Prime Healthcare Services-Port Huron LLC (Lake Huron Medical Center)
- Prime Healthcare Services-Port Huron LLC (Lake Huron Medical Center)
- Carolyn Louise Pringle, LLMSW
- Professional Counseling Center, P.C.
- Professional Counseling Center,P.C.
- Tammy L Prout, NP
- Cathleen Marie Provost
- Emma Rae Purdy, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.