| Jamila Ebony Provitt, LSW, BA, MSW | |
|
6004 Youngstown Warren Rd, Niles, OH 44446-4603 | |
| (234) 600-4300 | |
| Not Available |
| Full Name | Jamila Ebony Provitt |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 6004 Youngstown Warren Rd, Niles, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700366614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | S.1904129 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jamila Ebony Provitt, LSW, BA, MSW 6004 Youngstown Warren Rd, Niles, OH 44446-4603 Ph: (234) 600-4300 | Jamila Ebony Provitt, LSW, BA, MSW 6004 Youngstown Warren Rd, Niles, OH 44446-4603 Ph: (234) 600-4300 |
Christy Blazek, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 Mckinley Ave, Niles, OH 44446 Phone: 330-953-3300 | |
Kimberly Lehmenkuler, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Jenna Lynn Fierro, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Jillian Priscilla, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Mrs. Alicia Lynn Stoner, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 N Main St, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Shelby Day, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 | |
Christina Danielle Anderson, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 E Park Ave, Niles, OH 44446 Phone: 330-544-8005 Fax: 330-544-9379 |