Mr. John Francis Provost, LCSWLICENSEDCERTIF
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 205Hauppauge, NY 11788-2943
Phone: (631) 724-5522
Fax: (631) 724-5546
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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 R0136841 (NY) |
|---|
Record details
| NPI number | 1023129947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCSWLICENSEDCERTIF |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 1972 (54 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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