Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANTAYIA NEAL PROVOST, LCSW
ActiveMRS. SHANTAYIA NEAL PROVOST, LCSW is a Clinical Social Worker healthcare provider located in DOUGLASVILLE, Georgia. NPI 1689350084 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1689350084
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2023 (3.1253114721551 yrs)
- Last Updated
- Jun 22, 2023
- License
-
184759-3102 (UT)
Practice Information
- Address
-
4595 FLAT WILLOW PLDOUGLASVILLE, GA, 301358646Browse GA providers · Browse ZIP 30135
- Phone
- 4045485761
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in DOUGLASVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MICHELE BALTHROPE | LCSW | 1700892320 |
| SHIRLEY LOUISE MACLEOD | LCSW | 1457402067 |
| TAMMY STONER | LCSW | 1235339664 |
| GABRIELLE JOHNSON | LCSW | 1285953349 |
| MS. MARIE-VIOLENE MERTILUS | LCSW | 1578867073 |
| ANGELICA D RIVAS | — | 1750626313 |
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.