Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY ELLEN PROVENCHER, LICSW
ActiveMRS. MARY ELLEN PROVENCHER, LICSW is a Clinical Social Worker healthcare provider located in WESTWOOD, Massachusetts. NPI 1669544235 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WESTWOOD, MA
Registration Details
- NPI Number
- 1669544235
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2006 (19.703935790878 yrs)
- Last Updated
- Jul 8, 2007
- License
-
100755 (MA)
Practice Information
- Address
-
789 CAPBOARDTREE STHARBOR COUNSELING CENTERWESTWOOD, MA, 02090Browse MA providers · Browse ZIP 02090
- Phone
- 7812341318
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WESTWOOD, MA
| Name | Credential | NPI |
|---|---|---|
| MRS. ALICIA SUSAN FITZPATRICK | LICSW | 1356359418 |
| MR. RAYMOND DANIEL TOOMEY | MSW LICENSED INDEPEN | 1639262421 |
| MRS. ELISSA SHORE POTOTSKY | LICSW | 1447343231 |
| SUSAN KELLEDY | LICSW | 1982789806 |
| MRS. KATY MARIE ONG | LCSW | 1942389226 |
| MS. JENNIFER LYNN RANDALL | MSW, LICSW | 1013083294 |
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.