Individual provider Active NPI

Loretta Prince, MSW/LSW

  • Social Worker
  • Warren, OH
National Provider Identifier
1992782825
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0031629 Issued in OH
Practice address
8577 E Market St
Warren, OH 44484-2345
Phone
(330) 856-6663
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0031629 OH Primary

Addresses

Primary practice location

8577 E Market St
Warren, OH 44484-2345

Mailing address

8577 E Market St
Warren, OH 44484-2345
Phone (330) 856-6663

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060831000522 OH Practitioner - Clinical Social Worker 3072517143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0031629OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Hope Counseling Services LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

108 Main Ave SW
Ste 903
Warren, OH 44481
Phone (234) 830-0047

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1992782825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "LORETTA",
        "credential": "MSW/LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0031629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.