Mai Provencio, LCSW
NPI 1821534017 · Clinical Social Worker · Boise, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mai Provencio, LCSW is a Clinical Social Worker provider in Boise, ID (NPI 1821534017).
Provider details
- NPI number
- 1821534017
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW-34323 (ID)
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
9 yrs in NPPES 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
- 2017-01-11
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Mai Provencio's NPI number?
- Mai Provencio's National Provider Identifier (NPI) is 1821534017, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mai Provencio's specialty?
- Mai Provencio is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mai Provencio located?
- Mai Provencio's practice location on file with NPPES is 7235 W Potomac Dr Ste 220, Boise, ID 83704-9133.
- What is Mai Provencio's phone number?
- The practice phone number listed in the NPPES registry for Mai Provencio is (208) 794-9703.
- Does Mai Provencio accept Medicare?
- Mai Provencio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mai Provencio's NPI active?
- Yes — Mai Provencio's NPI (1821534017) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.