SearchCaliforniaClinical Social Worker

Monique Provencio

NPI 1346618154 · on the registry since 2015 · sole proprietor

Practice

Address
430 N Pilgrim St
Stockton, CA 95205
Phone
(000) 000-0000
Organisation at this address
Children'S Home Of Stockton
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Also registered as
Clinical Social Worker
Licence states on file
CA, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California