Individual provider · Type 1 NPI

Richard J. Provenzano, LCSW

Clinical Social Worker · Woodstock, VA

NPI number 1073605945 Active

Practice location

227 S Main St
Woodstock, VA 22664-1451

Fax (540) 459-9015

Mailing address

PO Box 193
Woodstock, VA 22664-0193

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904002158 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073605945

Richard J. Provenzano, LCSW's National Provider Identifier is 1073605945, issued on Sep 29, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woodstock, VA. The record was last updated on Oct 27, 2010.