Ian Victor Provo
Clinical Social Worker · Rockford, IL
Ian Victor Provo is a clinical social worker with a practice address in Rockford, Illinois, and NPI 1235614124, issued on Sep 26, 2018. Check the license (Illinois 149006049, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ian Victor Provo
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 149006049 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1126 Post Dr, Rockford, IL 61108
- Phone
- (815) 229-3738
- Enumerated
- Sep 26, 2018
- Record last updated
- Sep 26, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20220615001376); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 13,637 in Illinois → Look up another NPI →
Verify Ian Victor Provo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 149006049Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Mccd FL Psychiatry Services PALincolnshire, IL
- Mccd Psychiatry Services PLLCNew York, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ian Victor Provo among 13,637 clinical social worker records in Illinois
Ian Victor Provo is one of 13,637 clinical social worker records with a practice address in Illinois. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 54% of them.
- NPI issued2018 · 54% of these records are older, 41% newer
- In a Medicare fileYes · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated1991 · median 2010 among the 2,895 with a school on file
- Record last updated2018 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
208 clinical social worker records list a practice address in Rockford
They are 208 of the 3,893 NPPES records with a practice address in Rockford, and 13,637 clinical social worker records in Illinois.
All 13,637 in Illinois → Every provider in Rockford → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Leon Black, MSW LCSW CCBT CPTPRockford, IL 611081790793198
- Cynthia Brown, LCSWRockford, IL 611081265507891
- James Davies, LCSWRockford, IL 611081235103730
- Jeanne Flesch, LCSWRockford, IL 611081083771901
- Michael Gaziano, MSW LCSWRockford, IL 611081497840615
- Barbara Hallstrom, MSW/LCSWRockford, IL 611081154360758
- Rose Havens, MSW LCSWRockford, IL 611081609889013
- Carol Martin, LCSWRockford, IL 611081184722944
Common questions
What is Ian Victor Provo's NPI number?
Ian Victor Provo's National Provider Identifier (NPI) is 1235614124, issued on Sep 26, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Ian Victor Provo located?
The NPPES record lists a practice address at 1126 Post Dr, Rockford, IL, 61108. Phone: (815) 229-3738. Providers update this record themselves, so call before visiting.
How can I verify Ian Victor Provo's license?
NPPES lists Illinois license number 149006049, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.