| Marisa Provenzano, LCSW | |
|
5060 Shoreham Pl Ste 100, San Diego, CA 92122-5904 | |
| (877) 840-6956 | |
| Not Available |
| Full Name | Marisa Provenzano |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5060 Shoreham Pl Ste 100, San Diego, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003707522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 128960 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Provenzano, LCSW 3245 Rancho Miguel Rd, Jamul, CA 91935-1907 Ph: (619) 847-2606 | Marisa Provenzano, LCSW 5060 Shoreham Pl Ste 100, San Diego, CA 92122-5904 Ph: (877) 840-6956 |
Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000 | |
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496 | |
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556 | |
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534 | |
Noemi Ana Mitzel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6977 Navajo Rd # 654, San Diego, CA 92119 Phone: 619-382-8662 | |
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700 | |
Dawnn Marie Mendoza Guray, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8775 Aero Dr Ste 132, San Diego, CA 92123 Phone: 858-609-8742 |