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

Mr. John Francis Provost, LCSWLICENSEDCERTIF

Individual provider Clinical Social Worker · NPI 1023129947

Mr. John Francis Provost, LCSWLICENSEDCERTIF is a Clinical Social Worker in Hauppauge, New York. Qualified in 1972, 54 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
54
Licensed in
NY
In the registry since
2006

Practice location Address checks out

750 Veterans Hwy Ste 205
Hauppauge, NY 11788-2943
Phone: (631) 724-5522
Fax: (631) 724-5546
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R0136841 (NY)

Record details

NPI number1023129947
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWLICENSEDCERTIF
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hauppauge