MS. GRACE A. PRUDOM LCSW
NPI 1891979308
Social Worker - Clinical in South Boston, VA

Active since December 19, 2007
424 HAMILTON BLVD., SOUTH BOSTON, VA 24592(434) 572-2936(434) 572-4881 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Grace A. Prudom Lcsw NPPES

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

MS. GRACE A. PRUDOM LCSW (NPI 1891979308) is an individual clinical provider in South Boston, Virginia, licensed in Virginia (0904004773) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1891979308
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. GRACE A. PRUDOMCredential: LCSW
Location Address424 HAMILTON BLVD.South Boston, VA 24592-0488
Mailing AddressPo Box 488South Boston, VA 24592-0488 · (434) 572-2936 · Fax (434) 572-4881
Fax(434) 572-4881
Sole ProprietorNo
Enumeration DateDecember 19, 2007
NPI 1891979308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904004773
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.
424 HAMILTON BLVD., South Boston, VA 24592

Other Names 1

Former Name (1)Grace A. Lebarbe

Other Identifiers 8

Other317573VA · Anthem - Brun
Other317571VA · Anthem - Meck
OtherO83458VA · Sentara - Brun
Medicaid1700890761 - GR. NPIVA
Other317572VA · Anthem - Halifax
OtherO83458AVA · Sentara - Meck
OtherO83458BVA · Sentara - Halifax
Medicare UPINP35758VA

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
424 HAMILTON BLVD.
SOUTH BOSTON, VA 24592
Counselor (Mental Health)
424 HAMILTON BLVD.
SOUTH BOSTON, VA 24592

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 Grace Prudom's NPI number?

The NPI number for Grace Prudom is 1891979308. It was assigned to this individual provider in the NPPES registry on December 19, 2007. The provider is also known as Grace A. Lebarbe.

Where is Grace Prudom located?

Grace Prudom practices at 424 Hamilton Blvd., South Boston, VA 24592. The listed phone number is (434) 572-2936.

What is Grace Prudom'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 Grace Prudom was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.