Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MONIQUE NELLIE PROVENCIO
Active Sole ProprietorMS. MONIQUE NELLIE PROVENCIO is a Clinical Social Worker healthcare provider located in STOCKTON, California. NPI 1346618154 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · STOCKTON, CA
Registration Details
- NPI Number
- 1346618154
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 10, 2015 (10.742629138095 yrs)
- Last Updated
- Feb 11, 2026
- Licenses
-
ASW136999 (CA)150.118978 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
430 N PILGRIM STSTOCKTON, CA, 952054428Browse CA providers · Browse ZIP 95205
- Phone
- 0000000000
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MANOJ VIRENDRA PERERA | MSW, LCSW | 1568470946 |
| MS. CAROLYN J POMETTA | LCSW | 1043316326 |
| MS. SUZANNE LORENZ | LCSW | 1174616445 |
| MR. WILTON JAN WIELENGA | LCSW | 1528126703 |
| MR. ALEJO CASTILLON II | LCSW | 1386704286 |
| MRS. ALICE ELAINE MCNALLY | LCSW | 1245391713 |
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.