BETH PROVOST LCSW, LMSW
NPI 1194187757
Social Worker in Oconomowoc, WI

Q: What is Beth Provost's NPI number?

The NPI number for Beth Provost is 1194187757. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Q: What is Beth Provost's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Beth Provost was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since March 23, 2016PECOS Enrolled

1060A LOWELL DR, OCONOMOWOC, WI 53066(262) 443-7917 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 10, 2024, Nov 10, 2024, Jul 7, 2022 and 1 more (4 updates tracked since 2016).

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About Beth Provost Lcsw, Lmsw NPPES

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

BETH PROVOST LCSW, LMSW (NPI 1194187757) is an individual social worker in Oconomowoc, Wisconsin, licensed in Wisconsin (12062-123) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194187757

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameBETH PROVOSTCredential: LCSW, LMSW

Location Address1060A LOWELL DROconomowoc, WI 53066-4337

Mailing Address201 E 11th StSpencer, IA 51301-4436

Phone(262) 443-7917

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 23, 2016

Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1194187757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in WI · 12062-123✔ Licensed in IA · 115179

Definition

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.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 11953-123 (WI)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1060A LOWELL DR, Oconomowoc, WI 53066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beth Provost Lcsw, Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648778381

PECOS Enrollment IDI20250812001060

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Beth Provost's NPI number?

The NPI number for Beth Provost is 1194187757. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Beth Provost located?

Beth Provost practices at 1060A Lowell Dr, Oconomowoc, WI 53066. The listed phone number is (262) 443-7917.

What is Beth Provost's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Beth Provost enrolled in Medicare?

Yes. Beth Provost is registered in the Medicare PECOS enrollment system.

What insurance does Beth Provost accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Providence Health Plan and Quartz and 1 other insurer list Beth Provost as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beth Provost was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.