| Richard J Provenzano, LCSW | |
|
227 S Main St, Woodstock, VA 22664-1451 | |
| (540) 335-3715 | |
| (540) 459-9015 |
| Full Name | Richard J Provenzano |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 227 S Main St, Woodstock, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073605945 | NPI | - | NPPES |
| 089598M | Other | VA | OUTPATIENT THERAPY-OPTIMA |
| 010278520 | Medicaid | VA | |
| 197389 | Other | VA | OUTPATIENT THERAPY-ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904002158 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Provenzano, LCSW Po Box 193, Woodstock, VA 22664-0193 Ph: (540) 335-3715 | Richard J Provenzano, LCSW 227 S Main St, Woodstock, VA 22664-1451 Ph: (540) 335-3715 |
Mr. Peter G Gross, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 232 S Main St, Woodstock, VA 22664 Phone: 877-210-4673 | |
Mrs. Elisabeth Eden Alger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Valley Vista Dr, Woodstock, VA 22664 Phone: 540-459-1700 | |
Ms. Clare Brady Matthews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 S Main St, Woodstock, VA 22664 Phone: 540-335-1254 Fax: 540-459-4970 | |
Joanna Park Vernon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Woodstock, VA 22664 Phone: 540-459-5180 Fax: 540-459-4067 | |
Renee Sours, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Woodstock, VA 22664 Phone: 540-459-4946 | |
Mrs. Brooke Smith Joiner, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 316 S Main St, Woodstock, VA 22664 Phone: 540-908-8585 Fax: 540-901-2485 |