| Jacquelyn Marie Provenzola, LMSW | |
|
4902 Chilson Rd, Howell, MI 48843-9453 | |
| (248) 385-2524 | |
| (844) 640-0684 |
| Full Name | Jacquelyn Marie Provenzola |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 4902 Chilson Rd, Howell, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477114957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801105007 (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Marie Provenzola, LMSW 4902 Chilson Rd, Howell, MI 48843-9453 Ph: (248) 385-2524 | Jacquelyn Marie Provenzola, LMSW 4902 Chilson Rd, Howell, MI 48843-9453 Ph: (248) 385-2524 |
Ms. Eileen M. Mchenry, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2280 E Grand River Ave, Howell, MI 48843 Phone: 517-546-4126 | |
Sara Gellner, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4953 New Haven Dr, Howell, MI 48843 Phone: 810-599-8286 | |
Sarah Elizabeth Mcgeorge, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 E Grand River Ave Ste 104, Howell, MI 48843 Phone: 517-545-5944 | |
Charles Joseph Nicholas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10075 Bergin Rd Unit C, Howell, MI 48843 Phone: 810-444-2484 | |
Mr. Gregory Wortley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2280 E Grand River Ave, Howell, MI 48843 Phone: 517-546-4126 Fax: 517-546-1300 | |
Brandy Schilling, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2280 E Grand River Ave, Howell, MI 48843 Phone: 517-546-4126 Fax: 517-546-1300 | |
Matthew J Schultz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 622 E Grand River Ave, Howell, MI 48843 Phone: 517-546-4126 |