Jamila Ebony Provitt, LSW, BA, MSW - Clinical Social Worker in Warren, OH

Jamila Ebony Provitt, LSW, BA, MSW is a Social Worker based in Warren, Ohio. Jamila Ebony Provitt is licensed to practice in Ohio (license number S.1904129) and her current practice location is 2671 Youngstown Rd Se, Warren, Ohio. She can be reached at her office (for appointments etc.) via phone at (330) 469-9743.

NPI number for Jamila Ebony Provitt is 1700366614 and her current mailing address is 8261 Market St, Boardman, Ohio. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700366614.

Contact Information

Jamila Ebony Provitt, LSW, BA, MSW
2671 Youngstown Rd Se,
Warren, OH 44484-4404
(330) 469-9743
(330) 286-0055

Map and Direction




Healthcare Provider's Profile

Full NameJamila Ebony Provitt
GenderFemale
SpecialitySocial Worker
Location2671 Youngstown Rd Se, Warren, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700366614
  • Provider Enumeration Date: 08/20/2018
  • Last Update Date: 02/20/2020

Medical Identifiers

Medical identifiers for Jamila Ebony Provitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700366614NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
104100000XSocial Worker S.1904129 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamila Ebony Provitt is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jamila Ebony Provitt, LSW, BA, MSW
8261 Market St,
Boardman, OH 44512-6254

Ph: (330) 286-0050
Jamila Ebony Provitt, LSW, BA, MSW
2671 Youngstown Rd Se,
Warren, OH 44484-4404

Ph: (330) 469-9743

Reviews and Comments


Social Worker in Warren, OH

Kayla Keener, MSW, LISW-S
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1460 Tod Ave Nw, Warren, OH 44485
Phone: 330-392-0311    Fax: 216-229-2897
Rhonda Lynn Williams, SWT
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 430 Franklin St Se, Warren, OH 44483
Phone: 330-372-2200    
Ms. Jessica Nicole Jack Russell, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 425 Niles Cortland Rd Se, Warren, OH 44484
Phone: 330-856-3975    
Rayna Rintala,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 318 Mahoning Ave Nw, Warren, OH 44483
Phone: 330-395-9563    
Amanda L Bright, LISW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 320 High St Ne, Warren, OH 44481
Phone: 330-797-0070    
Christina Danielle Anderson, LSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 318 Mahoning Ave Nw, Warren, OH 44483
Phone: 330-395-9563    
Allison Rachel Kidd, LISW-S
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 4930 Enterprise Dr Nw, Warren, OH 44481
Phone: 330-787-0955    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.