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

Richard J Provenzano, LCSW

Individual provider Clinical Social Worker · NPI 1073605945

Richard J Provenzano, LCSW is a Clinical Social Worker in Woodstock, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

227 S Main St
Woodstock, VA 22664-1451
Phone: (540) 335-3715
Fax: (540) 459-9015
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 0904002158 (VA)

Record details

NPI number1073605945
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 29, 2006
Last updated in NPPESOctober 27, 2010

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