MRS. DEBRA PRUYN (NPI# 1710032081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710032081 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA PRUYN |
| Credential | LCSW, QMHP |
| Practice Address |
1644 Carnahan Dr Grants Pass OR 97527-4724 |
| Mailing Address |
1215 Sw G St Grants Pass OR 97526-2544 |
| Practice Telephone | 5414762373 |
| Mailing Telephone | 5414762373 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 052056-1 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L8013 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02074697 | 05 |
| Street Address |
1644 CARNAHAN DR |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083249585 | Julia Diane Turpen | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2020-03-05 |
| 1639714546 | Dena Lynn Demello | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-11-14 |
| 1689229239 | Debra Lee D. Torossian | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-08-09 |
| 1861954018 | Heather Quinn | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-04-04 |
| 1407318124 | Paul Matthews | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2019-04-02 |
| 1063994911 | Meghan Lane | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2018-09-06 |
| 1770990772 | Anthony Enrique Annicchiarico | Counselor | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2014-07-22 |
| 1083859979 | Options for Southern Oregon | Community Based Residential Treatment Facility, Mental Illness | 1644 Carnahan Dr, Grants Pass, OR 97527-4724 | 2008-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126159 | Karl Abraham Haeckler | Social Worker | 135 Ne Steiger St, Grants Pass, OR 97526-1311 | 2020-05-22 |
| 1447523956 | Dorothy Louise Torelli | Social Worker | 210 Tacoma St, Grants Pass, OR 97526-9370 | 2012-02-14 |
| 1861771073 | Amanda Evans Sloan | Social Worker | 777 Ne 7th St Ste 220, Grants Pass, OR 97526-1632 | 2011-08-05 |
| 1578730206 | Raymond Edward Meagher | Social Worker | 1309 Ne 7th St Ste C, Grants Pass, OR 97526-1362 | 2008-05-12 |
| 1366595720 | Lori J Worden | Social Worker | 217 Ne C St, Grants Pass, OR 97526-2153 | 2007-01-19 |
| 1780746925 | Jo Anne Marie Smith | Social Worker | 1201 Ne 7th St Ste C, Grants Pass, OR 97526-1451 | 2006-12-14 |
| 1316306301 | Kimberly Ruth Weeks | Social Worker | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2016-02-18 |
| 1871952143 | Brandi Violet Arbouin | Social Worker | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2016-02-16 |
| 1891060224 | Stanley A Burghardt | Social Worker | 210 Tacoma St, Grants Pass, OR 97526-9370 | 2012-03-19 |
| 1366717092 | Debra Cecile Megarit | Social Worker | 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 | 2012-03-13 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on MRS. DEBRA PRUYN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.