Active NPIIndividual provider

Miss Jean L Provance, MSW, LCSW

Social Worker, Clinical in North Brunswick, New Jersey

NPI Number1447405527
Practice location
807 Cranbury Cross RD, North Brunswick, NJ 08902-2268
Fax
—
Last updated
October 18, 2022

Jean Louise Provance is a Social Worker, Clinical based in North Brunswick, NJ. Jean Louise Provance practices in North Brunswick, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Jean Louise Provance is 1447405527 and holds a License No. 44SC05473500 (NJ). The current practice location address for Jean Louise Provance is 807 Cranbury Cross RD, North Brunswick, NJ 08902-2268 and can be reached out via phone at 908-510-0532.

Provider Profile Details

NPI Number
1447405527
Provider Name
Jean Louise Provance
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
807 Cranbury Cross RD, North Brunswick, NJ 08902-2268
Phone Number
908-510-0532
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Miss Kristen Nicole Petela (Former Name)
Provider Enumeration Date
November 17, 2008
Last Update Date
October 18, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
807 Cranbury Cross RD
North Brunswick, NJ 08902-2268
Zip
08902-2268
Phone Number
908-510-0532
North Brunswick, NJ 08902Get directions →

Provider Business Mailing Address Details

Address
807 Cranbury Cross RD
North Brunswick, NJ 08902-2268
City
North Brunswick
State
NJ
Zip
08902-2268
Phone Number
908-510-0532

License Information

License Number (1)
44SC05473500
License State (1)
NJ
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
44SL055245000
License State (2)
NJ
Taxonomy (2)
Social Worker · 104100000X
License Number (3)
077689-1
License State (3)
NY
Taxonomy (3)
Social Worker · 104100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Social Worker, Clinical providers near North Brunswick, NJ

View all Social Worker, Clinical providers in North Brunswick →

Frequently Asked Questions

What is the NPI number of Miss Jean L Provance, MSW, LCSW?

The NPI number of Miss Jean L Provance, MSW, LCSW is 1447405527. It was assigned on November 17, 2008 and is currently active in the NPPES registry.

What is the specialty of Miss Jean L Provance, MSW, LCSW?

Miss Jean L Provance, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05473500.

Where does Miss Jean L Provance, MSW, LCSW practice?

The practice location is 807 Cranbury Cross RD, North Brunswick, NJ 08902-2268. The office can be reached at 908-510-0532 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447405527 directly on the NPPES registry website.

Browse related providers