Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Ms. Grace A. Prudom, LCSW

Clinical Social Worker in South Boston, VA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891979308

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Registry record

Entity type Individual (Type 1)

Name Ms. Grace A. Prudom

Credential LCSW

Sex Female

Practice address 424 Hamilton Blvd., South Boston, VA, 24592

Phone (434) 572-2936

Fax (434) 572-4881

Enumeration date Dec 19, 2007

Last updated in NPPES Dec 19, 2007

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 0904004773 (VA) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier	Type	State	Issuer
317572	Other	VA	ANTHEM - HALIFAX
1700890761 - GR. NPI	Medicaid	VA	-
O83458A	Other	VA	SENTARA - MECK
O83458B	Other	VA	SENTARA - HALIFAX
317571	Other	VA	ANTHEM - MECK
317573	Other	VA	ANTHEM - BRUN
O83458	Other	VA	SENTARA - BRUN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Grace Prudom?

Grace Prudom is registered in NPPES with the primary taxonomy of Clinical Social Worker. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-19.