Ian Provo
NPI 1235614124 · Clinical Social Worker · Rockford, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ian Provo is a Clinical Social Worker provider in Rockford, IL (NPI 1235614124).
Provider details
- NPI number
- 1235614124
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149006049 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-26
- Last updated
- 2018-09-26
Frequently asked questions
- What is Ian Provo's NPI number?
- Ian Provo's National Provider Identifier (NPI) is 1235614124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Provo's specialty?
- Ian Provo is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ian Provo located?
- Ian Provo's practice location on file with NPPES is 1126 Post Dr, Rockford, IL 61108-4251.
- What is Ian Provo's phone number?
- The practice phone number listed in the NPPES registry for Ian Provo is (815) 229-3738.
- Does Ian Provo accept Medicare?
- Ian Provo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ian Provo's NPI active?
- Yes — Ian Provo's NPI (1235614124) is active in the NPPES registry as of the last update on 2018-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.