Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Park Pruitt

Individual provider Clinical Social Worker · NPI 1083322333

Grace Park Pruitt is a Clinical Social Worker in APO, Armed Forces Pacific. Licensed in North Carolina. Registered with an NPI since 2022.

Licensed in
NC
In the registry since
2022

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 305 Box 1681
APO, AP 96218-0017
Phone: (315) 737-4215

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C018867 (NC)

Record details

NPI number1083322333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing addressPsc 305 Box 1681, Apo, AP 96218-0017

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