Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beth Provost, LCSW, LMSW

Individual provider Social Worker · NPI 1194187757

Beth Provost, LCSW, LMSW is a Clinical Social Worker in Oconomowoc, Wisconsin. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Iowa and Wisconsin.

Years since qualifying
4
Licensed in
IA, WI
In the registry since
2016
Specialties on file
4
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1060A Lowell Dr
Oconomowoc, WI 53066-4337
Phone: (262) 443-7917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 12062-123 (WI)
Social Worker Taxonomy 104100000X · Licence 115179 (IA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 11953-123 (WI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1194187757
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , LMSW
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address201 E 11th St, Spencer, IA 51301-4436

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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