RICHARD J PROVENZANO LCSW
NPI 1073605945
Social Worker - Clinical in Woodstock, VA

Active since September 29, 2006
227 S MAIN ST, WOODSTOCK, VA 22664(540) 335-3715(540) 459-9015 Get Directions Write a Review

NPPES record last updated: October 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard J Provenzano Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD J PROVENZANO LCSW (NPI 1073605945) is an individual clinical provider in Woodstock, Virginia, licensed in Virginia (0904002158) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1073605945
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICHARD J PROVENZANOCredential: LCSW
Location Address227 S MAIN STWoodstock, VA 22664-1451
Mailing AddressPo Box 193Woodstock, VA 22664-0193 · (540) 335-3715 · Fax (540) 459-9015
Fax(540) 459-9015
Sole ProprietorYes
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 27, 2010
NPI 1073605945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904002158
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
227 S MAIN ST, Woodstock, VA 22664

Other Identifiers 3

Other197389VA · Outpatient Therapy-anthem
Medicaid010278520VA
Other089598MVA · Outpatient Therapy-optima

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
227 S MAIN ST
WOODSTOCK, VA 22664
Family Medicine
227 S MAIN ST
WOODSTOCK, VA 22664
Family Medicine
227 S MAIN ST
WOODSTOCK, VA 22664
Social Worker (Clinical)
227 S MAIN ST
WOODSTOCK, VA 22664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Provenzano's NPI number?

The NPI number for Richard Provenzano is 1073605945. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Richard Provenzano located?

Richard Provenzano practices at 227 S Main St, Woodstock, VA 22664. The listed phone number is (540) 335-3715.

What is Richard Provenzano's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Richard Provenzano was last updated on October 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.