Provider Demographics
NPI:1386367571
Name:PRINCE, JOSHUA HYMRICK (MSW)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:HYMRICK
Last Name:PRINCE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 S CROATAN HWY STE B
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-9024
Mailing Address - Country:US
Mailing Address - Phone:252-441-2324
Mailing Address - Fax:252-441-1994
Practice Address - Street 1:2808 S CROATAN HWY STE B
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-9024
Practice Address - Country:US
Practice Address - Phone:252-441-2324
Practice Address - Fax:252-441-1994
Is Sole Proprietor?:No
Enumeration Date:2022-09-22
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0168861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical