Provider Demographics
NPI:1801585443
Name:MCGOVERN, MARY JO STERBANK (MSW)
Entity type:Individual
Prefix:
First Name:MARY JO
Middle Name:STERBANK
Last Name:MCGOVERN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-4913
Mailing Address - Country:US
Mailing Address - Phone:757-345-8651
Mailing Address - Fax:
Practice Address - Street 1:324 MONTICELLO AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2834
Practice Address - Country:US
Practice Address - Phone:757-503-7917
Practice Address - Fax:855-823-3243
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker