Elizabeth Provost, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12449 Issued in TX

Practice address

1620 Green Meadow LN
Spring Branch, TX 78070-5319

Phone

(830) 822-2361

NPI assigned

Nov 12, 2007

Last updated

Aug 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1871773440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 GREEN MEADOW LN",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705319",
            "telephone_number": "830-822-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 GREEN MEADOW LN",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705319",
            "telephone_number": "830-822-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "12449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185727801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tavie Coyle Peters, NP
• Lewis Thomas Petmecky, L.A.T.
• Stephen P Planchet, O.D.
• Kimberly Ann Platupe, COTA
• Marissa E Ponti, M.S. CCC-SLP
• Adriane Rae, LPC
• Kimberly Ramcharan, DC
• Teri Ramirez, RPH
• Rediclinic, LLC (RediClinic)
• Renew Family Holdings LLC (Renew Texas Family Chiropractic)

• Clinical Social Worker in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.