JAMILA EBONY PROVITT (NPI# 1700366614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700366614 |
| Entity Type | Individual |
| Full Name | JAMILA EBONY PROVITT |
| Credential | LSW, BA, MSW |
| Practice Address |
2671 Youngstown Rd Se Warren OH 44484-4404 |
| Mailing Address |
8261 Market St Boardman OH 44512-6254 |
| Practice Telephone | 3304699743 |
| Practice Fax Number | 3302860055 |
| Mailing Telephone | 3302860050 |
| Mailing Fax Number | 3302860055 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1904129 | OH | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2671 YOUNGSTOWN RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630777 | Chante Renee Jackson | Social Worker | 28082 Hoover Rd Apt 3, Warren, MI 48093-4166 | 2020-08-17 |
| 1871123638 | Resheta Sade Eggleston | Social Worker | 2833 Red Fox Run Dr Nw, Warren, OH 44485-1573 | 2020-01-21 |
| 1639711708 | Alexandra Ash | Social Worker | 6 Asylum Rd, Warren, RI 02885-1718 | 2019-10-10 |
| 1548818461 | Lauren Louise Wimer | Social Worker | 2282 Reeves Road Ne, Warren, OH 44483-4354 | 2019-09-04 |
| 1285287862 | Zenobia Kindle-davis | Social Worker | 22804 Sharrow Ave, Warren, MI 48089-2882 | 2019-07-22 |
| 1083180640 | Rakaiya Peterman | Social Worker | 138 Kenmore Ave Se, Warren, OH 44483-6157 | 2018-10-22 |
| 1659857993 | Elizabeth Tanner-horn | Social Worker | 72 Woodville Rd, Warren, CT 06777-1202 | 2018-07-18 |
| 1578051876 | Melissa Ann Emery | Social Worker | 160 Clifton Dr Ne Ste 1, Warren, OH 44484-1899 | 2018-04-23 |
| 1295239291 | Derrick L Mason | Social Worker | 605 Oriole Pl Sw, Warren, OH 44485-3638 | 2018-03-23 |
| 1700386471 | Kimberly Denise Walker I | Social Worker | 3244 Williamsburg St Nw, Warren, OH 44485-2257 | 2018-02-19 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.