PAUL LOUIS PROVENCIO
NPI 1245562743
Social Worker in San Diego, CA

Active since February 08, 2010
9400 RUFFIN CT, SAN DIEGO, CA 92123(858) 514-4867 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Louis Provencio NPPES

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

PAUL LOUIS PROVENCIO (NPI 1245562743) is an individual social worker in San Diego, California, licensed in California (23582) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1245562743
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NamePAUL LOUIS PROVENCIO
Location Address9400 RUFFIN CTSan Diego, CA 92123-5300
Mailing Address9400 Ruffin CtSan Diego, CA 92123-5300 · (858) 514-4867
Sole ProprietorNo
Enumeration DateFebruary 8, 2010
NPI 1245562743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in CA · 23582
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

9400 RUFFIN CT, San Diego, CA 92123

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
9400 RUFFIN CT
SAN DIEGO, CA 92123
Psychologist (Clinical)
9400 RUFFIN CT
SAN DIEGO, CA 92123
Rehabilitation Practitioner
9400 RUFFIN CT
SAN DIEGO, CA 92123
Registered Nurse
9400 RUFFIN CT, BUILDING B
SAN DIEGO, CA 92123
Specialist
9400 RUFFIN CT
SAN DIEGO, CA 92123
Counselor
9400 RUFFIN CT
SAN DIEGO, CA 92123
Counselor (Mental Health)
9400 RUFFIN CT
SAN DIEGO, CA 92123
Registered Nurse
9400 RUFFIN CT
SAN DIEGO, CA 92123

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 Paul Provencio's NPI number?

The NPI number for Paul Provencio is 1245562743. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Where is Paul Provencio located?

Paul Provencio practices at 9400 Ruffin Ct, San Diego, CA 92123. The listed phone number is (858) 514-4867.

What is Paul Provencio's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Paul Provencio was last updated on February 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.