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

John Provenzano, LSW

Individual provider Clinical Social Worker · NPI 1407202138

John Provenzano, LSW is a Clinical Social Worker in Columbus, Ohio. Licensed in Maryland. Registered with an NPI since 2016.

Licensed in
MD
In the registry since
2016
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

420 N James Rd
Columbus, OH 43219-1834
Phone: (614) 388-7374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 17869 (MD)

Record details

NPI number1407202138
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESMay 12, 2016

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