Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD J PROVENZANO, LCSW
Active Sole ProprietorRICHARD J PROVENZANO, LCSW is a Clinical Social Worker healthcare provider located in WOODSTOCK, Virginia. NPI 1073605945 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WOODSTOCK, VA
Registration Details
- NPI Number
- 1073605945
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2006 (19.833519485358 yrs)
- Last Updated
- Oct 27, 2010
- License
-
0904002158 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
227 S MAIN STWOODSTOCK, VA, 226641451Browse VA providers · Browse ZIP 22664
- Phone
- 5403353715
- Fax
- 5404599015
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WOODSTOCK, VA
| Name | Credential | NPI |
|---|---|---|
| JOANNA PARK VERNON | LCSW | 1932104056 |
| MS. CLARE BRADY MATTHEWS | LCSW | 1578546982 |
| RENEE SOURS | LCSW | 1932119393 |
| MR. PETER G GROSS | LCSW | 1083785406 |
| STEPHANIE GOSNELL | — | 1962850669 |
| MRS. BROOKE SMITH JOINER | MSSW | 1962001107 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.