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MARY ANITA PROVENCE LCSW
NPI 1326305814
Social Worker - Clinical in Indianapolis, IN

Active since April 20, 2012
5023 E 56TH ST, INDIANAPOLIS, IN 46226(317) 253-7387(317) 253-7388 Get Directions Write a Review

NPPES record last updated: April 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Anita Provence Lcsw NPPES

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

MARY ANITA PROVENCE LCSW (NPI 1326305814) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (34003940A) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1326305814
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY ANITA PROVENCECredential: LCSW
Location Address5023 E 56TH STIndianapolis, IN 46226-1474
Mailing AddressPo Box 55107Indianapolis, IN 46205-0107 · (317) 253-7387 · Fax (317) 253-7388
Phone(317) 253-7387
Fax(317) 253-7388
Sole ProprietorNo
Enumeration DateApril 20, 2012
✔ NPI 1326305814 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 IN · 34003940A
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.
5023 E 56TH ST, Indianapolis, IN 46226
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Other Providers at the Same Location NPPES 5

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

KEVIN SHORT LCSW
Social Worker (Clinical)
5023 E 56TH ST, 110
INDIANAPOLIS, IN 46226
Marion County (317) 253-7387
MS. TI'AUNA LA'COLE WILLIAMS M.A., C.S.A.Y.C.
Counselor (Mental Health)
5023 E 56TH ST, SUITE 130
INDIANAPOLIS, IN 46226
Marion County (317) 543-9347
MICHAEL DOUGLAS TUCKEY D.C.
Chiropractor
5023 E 56TH ST, SUITE 100
INDIANAPOLIS, IN 46226
Marion County (317) 351-0345
TYRA KLUEMPER LCSW
Social Worker (Clinical)
5023 E 56TH ST, 110
INDIANAPOLIS, IN 46226
Marion County (317) 253-7387
CYNTHIA G. DAVIS LCSW
Social Worker (Clinical)
5023 E 56TH ST, 110
INDIANAPOLIS, IN 46226
Marion County (317) 253-7387

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 Mary Provence's NPI number?

The NPI number for Mary Provence is 1326305814. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Mary Provence located?

Mary Provence practices at 5023 E 56th St, Indianapolis, IN 46226. The listed phone number is (317) 253-7387.

What is Mary Provence'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 Mary Provence was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.