Organization · Type 2 NPI

Provost Body & Mind, PLLC

Clinical Social Worker · Henderson, NV

NPI number 1972415313 Active

Practice location

650 Whitney Ranch Dr Apt 1811
Henderson, NV 89014-2616

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

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 1972415313

Provost Body & Mind, PLLC's National Provider Identifier is 1972415313, issued on Sep 21, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Henderson, NV. The record was last updated on Sep 29, 2026.