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

MS. Grace A. Prudom, LCSW

Individual provider Clinical Social Worker · NPI 1891979308

MS. Grace A. Prudom, LCSW is a Clinical Social Worker in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2007.

Licensed in
VA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

424 Hamilton Blvd
South Boston, VA 24592-0488
Phone: (434) 572-2936
Fax: (434) 572-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904004773 (VA)

Record details

NPI number1891979308
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 19, 2007
Last updated in NPPESDecember 19, 2007
Mailing addressPo Box 488, South Boston, VA 24592-0488

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