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SHADARIA RENE PRINCE LCSW
NPI 1669872578
Social Worker - Clinical in Fresno, CA

Active since August 27, 2014
2600 VENTURA ST STE 110, FRESNO, CA 93721(310) 654-9835 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2023, Jun 12, 2023, Mar 10, 2022 and 1 more (4 updates tracked since 2019).

About Shadaria Rene Prince Lcsw NPPES

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

SHADARIA RENE PRINCE LCSW (NPI 1669872578) is an individual clinical provider in Fresno, California, licensed in California (LCSW94800) and active in the NPI registry since August 2014. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669872578
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHADARIA RENE PRINCECredential: LCSW
Location Address2600 VENTURA ST STE 110Fresno, CA 93721-3041
Mailing Address4183 W Weldon AveFresno, CA 93722-6893 · (310) 654-9835
Phone(310) 654-9835
Sole ProprietorYes
Enumeration DateAugust 27, 2014
Last NPPES UpdateJuly 7, 20234 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1669872578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · LCSW94800✔ Licensed in CA · ASW67543
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2600 VENTURA ST STE 110, Fresno, CA 93721
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Secondary Practice Locations 3

Location 13138 W Barstow AveFresno, CA 93711-2603 · Phone (559) 243-7002
Location 22291 N Hazel AveFresno, CA 93722-5562 · Phone (559) 243-7002
Location 31788 Celeste AveClovis, CA 93611-2069 · Phone (559) 243-7002

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEPLY ROOTED COUNSELING & WELLNESS CENTER
Clinic/Center (Adolescent and Children Mental Health)
2600 VENTURA ST STE 110
FRESNO, CA 93721
Fresno County (310) 654-9835

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 Shadaria Prince's NPI number?

The NPI number for Shadaria Prince is 1669872578. It was assigned to this individual provider in the NPPES registry on August 27, 2014.

Where is Shadaria Prince located?

Shadaria Prince practices at 2600 Ventura St Ste 110, Fresno, CA 93721. The listed phone number is (310) 654-9835.

What is Shadaria Prince's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shadaria Prince was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.