Alyssa Ruth Pravetz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23876 Issued in MD

Practice address

1114 Benfield Blvd Ste G
Millersville, MD 21108-2589

Phone

(410) 780-5203

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1972133064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 TOWNE CENTRE BLVD UNIT 413",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013583",
            "telephone_number": "201-341-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 BENFIELD BLVD STE G",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082589",
            "telephone_number": "410-780-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAVETZ",
        "first_name": "ALYSSA",
        "middle_name": "RUTH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "23876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Maria Pinto, PT
• Deborah Jones Pivec
• Emily Porter, LCSW-C
• Mariah Postupack
• Renata M Powell, LCPC
• Pauline Prince, PH.D.
• Providence Center, Inc.
• Janiya McKenzie Queen
• Taylor Ramdeen, RD
• Mahrukh Rauf

• Clinical Social Worker in Millersville, MD
• Providers in Millersville, MD by specialty
• Clinical Social Worker in Maryland

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

Verify at the official NPI Registry.