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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BETH PROVOST, LCSW, LMSW

Active Sole Proprietor

BETH PROVOST, LCSW, LMSW is a Social Worker healthcare provider located in OCONOMOWOC, Wisconsin. NPI 1194187757 is currently active in the NPPES registry. Verify at CMS.

Social Worker · OCONOMOWOC, WI

Registration Details

NPI Number
1194187757
Provider Type
Individual
Gender
Female
NPI Issued
Mar 23, 2016 (10.363407182823 yrs)
Last Updated
Dec 10, 2024
Licenses
115179 (IA)
11953-123 (WI)
12062-123 (WI)
Sole Proprietor
Yes

Practice Information

Address
1060A LOWELL DR
OCONOMOWOC, WI, 530664337
Browse WI providers · Browse ZIP 53066
Phone
2624437917
Primary Specialty
Social Worker
104100000X
Additional Specialty
Clinical Social Worker
Additional Specialty
Case Manager
Additional Specialty
Social Worker

Other Social Worker Providers in OCONOMOWOC, WI

Name Credential NPI
MS. MAEJEANNE FANCHER LCSW 1972592095
MS. PATRICIA GLATZEL CLOUGH MS, ATR, LPC 1477543981
PEGGY NIES SCARGALL MSW, CADC, CAPSW 1366460115
ANGELA GUNDERSON 1649691528
MARK HOHENWALD CSW 1215481403
BREANNA VAUGHN APSW 1063984847
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.