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

RUTH PROVENZANO, LCSW

Active Sole Proprietor

RUTH PROVENZANO, LCSW is a Clinical Social Worker healthcare provider located in VIENNA, Virginia. NPI 1477869246 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · VIENNA, VA

Registration Details

NPI Number
1477869246
Provider Type
Individual
Gender
Female
NPI Issued
Aug 31, 2010 (15.773205305605 yrs)
Last Updated
Jul 2, 2013
License
0904008275 (VA)
Sole Proprietor
Yes

Practice Information

Address
9924 STEEPLE RUN
VIENNA, VA, 221813157
Browse VA providers · Browse ZIP 22181
Phone
7039675313
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in VIENNA, VA

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.