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

JACQUELYN MARIE PROVENZOLA, LMSW

Active

JACQUELYN MARIE PROVENZOLA, LMSW is a Social Worker healthcare provider located in HOWELL, Michigan. NPI 1477114957 is currently active in the NPPES registry. Verify at CMS.

Social Worker · HOWELL, MI

Registration Details

NPI Number
1477114957
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2019 (7.1596563752678 yrs)
Last Updated
Apr 18, 2023
License
6801105007

Practice Information

Address
4902 CHILSON RD
HOWELL, MI, 488439453
Browse MI providers · Browse ZIP 48843
Phone
2483852524
Fax
8446400684
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker

Other Social Worker Providers in HOWELL, MI

Name Credential NPI
MS. CAROLE BORIS LMSW 1356371090
MS. REBECCA ANN DERAS LMSW 1063428654
MRS. KAY PAULA TULUPMAN LMSW 1215943857
MRS. LYNDA J WIDMAYER LMSW 1487660049
MICHAEL D STUART LMSW 1053328732
MR. MARK TABOR ROBINSON LMSW 1043227721
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.