Provider Demographics
NPI:1831194570
Name:PRINGLE, MARY HELEN (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:HELEN
Last Name:PRINGLE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4744 WINTERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7254
Mailing Address - Country:US
Mailing Address - Phone:757-784-6057
Mailing Address - Fax:
Practice Address - Street 1:3435A JOHN TYLER HWY
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-1457
Practice Address - Country:US
Practice Address - Phone:757-784-6057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040023141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical