AMY ELIZABETH PRUDENCIO LCSW
NPI 1295244242
Social Worker - School in Carbondale, IL

Q: What is Amy Prudencio's NPI number?

The NPI number for Amy Prudencio is 1295244242. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Q: What is Amy Prudencio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Prudencio was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 21, 2017

1301 E. WALNUT STREET, CARBONDALE, IL 62901(618) 457-3371(618) 549-1608 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017 (2 updates tracked since 2017).

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About Amy Elizabeth Prudencio Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY ELIZABETH PRUDENCIO LCSW (NPI 1295244242) is an individual school provider in Carbondale, Illinois, licensed in Illinois (149014863) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1295244242

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameAMY ELIZABETH PRUDENCIOCredential: LCSW

Location Address1301 E. WALNUT STREETCarbondale, IL 62901

Mailing Address1301 E Walnut StCarbondale, IL 62901-5004 · (618) 457-3371 · Fax (618) 549-1608

Phone(618) 457-3371

Fax(618) 549-1608

Sole ProprietorNo

Enumeration DateSeptember 21, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1295244242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in IL · 149014863

1301 E. WALNUT STREET, Carbondale, IL 62901

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Prudencio's NPI number?

The NPI number for Amy Prudencio is 1295244242. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Amy Prudencio located?

Amy Prudencio practices at 1301 E. Walnut Street, Carbondale, IL 62901. The listed phone number is (618) 457-3371.

What is Amy Prudencio's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Amy Prudencio was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.