Mary Anita Provence, LCSW
Mary Anita Provence, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2012.
- Licensed in
- IN
- In the registry since
- 2012
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
5023 E 56th StIndianapolis, IN 46226-1474
Phone: (317) 253-7387
Fax: (317) 253-7388
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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 34003940A (IN) |
|---|
Record details
| NPI number | 1326305814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | No |
| NPI enumerated | April 20, 2012 |
| Last updated in NPPES | April 20, 2012 |
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