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

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
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: October 25, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Beth Provost Lcsw, Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Beth Provost reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
W175N11120 STONEWOOD DR
Germantown, WI 53022
  • Reassigned Medicare billing, Wisconsin enrollment
  • 64 clinicians in this Medicare group
Mental Health
511 MADISON AVE
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Beth Provost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Provost reassigns Medicare benefits to 2 organizations: Wisconsin Lutheran Child And Family Service Inc (Germantown, WI) and Oak Tree Child And Family Services LLC (Fort Atkinson, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Beth Provost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Beth Provost accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW, MercyCare and MercyCare Health Plans and 3 other insurers 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 22 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.