SearchOhio104100000X

Jamila Provitt, LSW, BA, MSW

NPI 1700366614 · on the registry since 2018 · sole proprietor

Practice

Address
6004 Youngstown Warren Rd
Niles, OH 44446
Phone
(234) 600-4300

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041C0700X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio