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ANNETTE PROVENCHER LCSW LLC
NPI 1225579162
Social Worker - Clinical in Middletown, NJ

Active since March 11, 2017
24 CHAPMAN TER, MIDDLETOWN, NJ 07748(732) 876-3094 Get Directions Write a Review

NPPES record last updated: March 11, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Annette Provencher Lcsw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNETTE PROVENCHER LCSW LLC (NPI 1225579162) is a healthcare organization registered as a clinical in Middletown, New Jersey and active in the NPI registry since March 2017. The organization lists Annette Provencher, Owner, as its authorized official.

NPPES Registry Identity

NPI1225579162
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameANNETTE PROVENCHER LCSW LLC
Location Address24 CHAPMAN TERMiddletown, NJ 07748-1563
Mailing Address39 Avenue At The Cmn, Suite 106Shrewsbury, NJ 07702-4807 · (732) 876-3094
Phone(732) 876-3094
Organization SubpartNo
Authorized OfficialAnnette ProvencherOwner · (732) 876-3094
Enumeration DateMarch 11, 2017
✔ NPI 1225579162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC04823100
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
24 CHAPMAN TER, Middletown, NJ 07748
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annette Provencher Lcsw LLC's NPI number?

The NPI number for Annette Provencher Lcsw LLC is 1225579162. It was assigned to this organization in the NPPES registry on March 11, 2017.

Where is Annette Provencher Lcsw LLC located?

Annette Provencher Lcsw LLC is located at 24 Chapman Ter, Middletown, NJ 07748. The listed phone number is (732) 876-3094.

What is Annette Provencher Lcsw LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Annette Provencher Lcsw LLC was last updated on March 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.