Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISA PROVENZANO, LCSW
ActiveMARISA PROVENZANO, LCSW is a Clinical Social Worker healthcare provider located in SAN DIEGO, California. NPI 1003707522 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAN DIEGO, CA
Registration Details
- NPI Number
- 1003707522
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2025 (0.90751080527461 yrs)
- Last Updated
- Jul 12, 2025
- License
-
128960 (CA)
Practice Information
- Address
-
5060 SHOREHAM PL STE 100SAN DIEGO, CA, 921225904Browse CA providers · Browse ZIP 92122
- Phone
- 8778406956
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL HAMMER | MSW | 1861491292 |
| DEBRA BLAY HOLMES | LCSW | 1932192531 |
| MS. RHONDA MASON | LCSW | 1366436503 |
| LISA GRAFF-MARSH | LCSW | 1588659080 |
| JERYL KALINOWSKI | LCSW | 1811982697 |
| KAREN LOUISE RITTER | LCSW | 1790775781 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.