MEDICARE: MS. ANGELICA PRUYN LCSW 27874

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1730233818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELICA PRUYN LCSW 27874

Provider Business Mailing Address
First Line	:	200 24TH ST
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-1804
Country	:	US
Telephone Number	:	510-412-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 24TH ST
Second Line	:
City	:	RICHMOND
State	:	CA
Zip	:	94804-1804
Country	:	US
Telephone Number	:	510-412-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	04/21/2022

Similar Medicare Providers

1104670553 — CARRIE DIERINGER TAFFEL
Practice Location Address:

200 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 510-412-9200
Practice Fax:

1952489270 — CONTRA COSTA COUNTY
Practice Location Address:

256 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 925-957-5429
Practice Fax:

1326113671 — DR. LISA WANG M.D.
Practice Location Address:

256 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 510-374-3420
Practice Fax:

1790845469 — MRS. GENOVEVA CALLOWAY LCSW
Practice Location Address:

256 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 510-374-3467
Practice Fax:

1245380211 — HEATHER COLEMAN PHD
Practice Location Address:

200 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 510-412-9210
Practice Fax:

1740332071 — EARLY CHILDHOOD MENTAL HEALTH PROGRAM
Practice Location Address:

200 24TH ST
RICHMOND, CA
94804-1804

Practice Phone: 510-412-9200
Practice Fax: 510-412-9248

Directions to “ MS. ANGELICA PRUYN LCSW 27874” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.