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Jamila Ebony Provitt , LSW, BA, MSW

Social Worker β€’ Niles, OH

Active NPI 1700366614 Individual Practitioner Female Practitioner
Practice location in NPPES

6004 Youngstown Warren Rd
Niles, OH 444464603

Call 2346004300 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6004 Youngstown Warren Rd

Niles, OH 444464603

Telephone 2346004300

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Niles and Ohio

105 active clinicians are listed under Social Worker with a practice address in Niles, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Niles

1% of these 105 clinicians have the CMS telehealth indicator.

1% of these 105 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-08
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.1904129

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location July 08, 2026

Registered at 6004 YOUNGSTOWN WARREN RD, NILES, OH 444464603 (Tel: 2346004300)

πŸ“
Updated Business Mailing Address July 08, 2026

Registered at 6004 YOUNGSTOWN WARREN RD, NILES, OH 444464603 (Tel: 2346004300)

πŸ‘€
Provider Name / Credentials Updated February 20, 2020

Recorded as JAMILA PROVITT, LSW, BA, MSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2020

Social Worker

πŸ“
Updated Practice Location December 10, 2019

Registered at 2671 YOUNGSTOWN RD SE, WARREN, OH 444844404 (Tel: 3304699743)

πŸ‘€
Provider Name / Credentials Updated December 10, 2019

Recorded as JAMILA PROVITT, LSW, BA, CDCA

πŸ“
Updated Business Mailing Address January 22, 2019

Registered at 8261 MARKET ST, BOARDMAN, OH 445126254 (Tel: 3303959563)

πŸ‘€
Provider Name / Credentials Updated January 22, 2019

Recorded as JAMILA PROVITT, BA, SWT, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2019

Counselor (license number reported to NPPES: OH CDCA.169355)

βœ…
NPI Profile Active August 20, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 20, 2018

Registered at 318 MAHONING AVE NW, WARREN, OH 444834605 (Tel: 3303959563)

πŸ“
Business Mailing Address (Initial Record) August 20, 2018

Registered at 318 MAHONING AVE NW, WARREN, OH 444834605 (Tel: 3303959563)

πŸ‘€
Provider Name / Credentials (Initial Record) August 20, 2018

Recorded as JAMILA PROVITT, BA, SWT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2018

Social Worker

🟒
Initial NPI Registration & Enumeration August 20, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700366614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2018
Last Update: July 08, 2026
Sole Proprietor: Yes

Other Social Workers in Niles

Mailing Address

6004 Youngstown Warren Rd

Niles, OH 444464603

Phone: 2346004300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.