Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamila Ebony Provitt, LSW, BA, MSW

Individual provider Clinical Social Worker · NPI 1700366614

Jamila Ebony Provitt, LSW, BA, MSW is a Clinical Social Worker in Niles, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.
BA — Bachelor of Arts
An undergraduate arts degree.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

6004 Youngstown Warren Rd
Niles, OH 44446-4603
Phone: (234) 600-4300
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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 S.1904129 (OH)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1700366614
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW , BA , MSW
Sole proprietorYes
NPI enumeratedAugust 20, 2018
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

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