Marisa Provenzano, LCSW
NPI 1003707522 · Clinical Social Worker · San Diego, CA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Provenzano, LCSW is a Clinical Social Worker provider in San Diego, CA (NPI 1003707522).
Provider details
- NPI number
- 1003707522
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 128960 (CA)
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
Under 1 yr in 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
- 2025-07-12
- Last updated
- 2025-07-12
- Certified
- 2025-07-12
Frequently asked questions
- What is Marisa Provenzano's NPI number?
- Marisa Provenzano's National Provider Identifier (NPI) is 1003707522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Provenzano's specialty?
- Marisa Provenzano is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Marisa Provenzano located?
- Marisa Provenzano's practice location on file with NPPES is 5060 Shoreham Pl Ste 100, San Diego, CA 92122-5904.
- What is Marisa Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Marisa Provenzano is (877) 840-6956.
- Does Marisa Provenzano accept Medicare?
- Marisa Provenzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Provenzano's NPI active?
- Yes — Marisa Provenzano's NPI (1003707522) is active in the NPPES registry as of the last update on 2025-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.