Provider Demographics
NPI:1184692246
Name:PRONTO, RICHARD ALAN (LCSW)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:ALAN
Last Name:PRONTO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:296 TURNPIKE RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NC
Mailing Address - Zip Code:27919-9672
Mailing Address - Country:US
Mailing Address - Phone:252-297-6574
Mailing Address - Fax:
Practice Address - Street 1:296 TURNPIKE RD
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NC
Practice Address - Zip Code:27919-9672
Practice Address - Country:US
Practice Address - Phone:252-297-6574
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0001751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002885Medicaid
NC2879709Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER