Donna Lynn Provenzola in Louisville - Clinical
Donna Lynn Provenzola - NPI 1568534972
Donna Lynn Provenzola is a Clinical in Louisville, Kentucky. Donna Lynn Provenzola practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donna Lynn Provenzola is 1568534972. The last update date is 2008-07-02.
Donna Lynn Provenzola's current location address is 3430 Newburg Rd, Louisville, Kentucky. You can contact this provider via phone number 5024548800 and fax number 5027360140. The mailing address for Donna Lynn Provenzola is 3430 Newburg Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna Lynn Provenzola |
|---|---|
| Address | 3430 Newburg Rd, Louisville, Kentucky |
| Phone Number | 5024548800 |
| Fax Number | 5027360140 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568534972 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 3430 Newburg Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402182497 |
| Phone Number | 5024548800 |
| Fax Number | 5027360140 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | KY2041 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 369633 | KY | TRICARE | |
| 378907 | KY | ANTHEM | |
| 814082000 | KY | MAGELLAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Donna Lynn Provenzola by the Centers for Medicare & Medicaid Services?
The Donna Lynn Provenzola has been issued the NPI (National Provider Identifier) 1568534972 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Donna Lynn Provenzola's facilities are geographically located?
The facilities of Donna Lynn Provenzola are physically situated at the following location: 3430 Newburg Rd, Louisville, KY, 402182497.
What is Donna Lynn Provenzola's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Donna Lynn Provenzola is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date was the 1568534972 assigned to Donna Lynn Provenzola?
The Donna Lynn Provenzola was issued its 1568534972 on 2006-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Donna Lynn Provenzola's information last updated?
The Donna Lynn Provenzola's information was last updated on 2008-07-02.
NPI Number: 1366446817
Address: 1600 Medical Center Dr, Huntington, WV
NPI Number: 1558366757
Address: 47 Town Street, Norwich, CT
NPI Number: 1194720656
Address: 155 Inverness Dr W, Englewood, CO