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MS. MONIQUE NELLIE PROVENCIO
NPI 1346618154
Social Worker - Clinical in Stockton, CA

Active since September 10, 2015
430 N PILGRIM ST, STOCKTON, CA 95205(000) 000-0000 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2017, Mar 24, 2017 (2 updates tracked since 2017).

About Ms. Monique Nellie Provencio NPPES

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

MS. MONIQUE NELLIE PROVENCIO (NPI 1346618154) is an individual clinical provider in Stockton, California, licensed in California (ASW136999) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1346618154
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MONIQUE NELLIE PROVENCIO
Location Address430 N PILGRIM STStockton, CA 95205-4428
Mailing Address430 N Pilgrim StStockton, CA 95205-4428
Phone(000) 000-0000
Sole ProprietorYes
Enumeration DateSeptember 10, 2015
Last NPPES UpdateFebruary 11, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2026
✔ NPI 1346618154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · ASW136999✔ Licensed in IL · 150.118978
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.
430 N PILGRIM ST, Stockton, CA 95205
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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.

MARIAH EVA MARIE MARTINEZ
Counselor (Mental Health)
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
NOLENA MARIE SELLEK
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 395-3077
MARY-JANE LANSANA
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
BREANNA VAN PERNIS
Community Health Worker
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
DORIS ALIN CHAVEZ UGALDE
Student in an Organized Health Care Education/Training Program
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
NICOLE RANE COWAN
Marriage & Family Therapist
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
MARC ANAYA
Counselor (Professional)
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853
STEPHANIE LOPEZ
Marriage & Family Therapist
430 N PILGRIM ST
STOCKTON, CA 95205
San Joaquin County (209) 466-0853

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 Monique Provencio's NPI number?

The NPI number for Monique Provencio is 1346618154. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Monique Provencio located?

Monique Provencio practices at 430 N Pilgrim St, Stockton, CA 95205. The listed phone number is (000) 000-0000.

What is Monique Provencio's specialty?

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

What insurance does Monique Provencio accept?

Health plans from Ambetter from Arizona Complete Health list Monique Provencio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monique Provencio was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.