MRS. MARY ELLEN PROVENCHER LICSW
NPI 1669544235
Social Worker - Clinical in Westwood, MA

Active since November 15, 2006
789 CAPBOARDTREE ST, HARBOR COUNSELING CENTER, WESTWOOD, MA 02090(781) 234-1318 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Ellen Provencher Licsw NPPES

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

MRS. MARY ELLEN PROVENCHER LICSW (NPI 1669544235) is an individual clinical provider in Westwood, Massachusetts, licensed in Massachusetts (100755) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1669544235
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY ELLEN PROVENCHERCredential: LICSW
Location Address789 CAPBOARDTREE ST, HARBOR COUNSELING CENTERWestwood, MA 02090
Mailing Address16 Clear Pond DriveWalpole, MA 02081-4310 · (508) 660-1971
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1669544235 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 MA · 100755
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.
789 CAPBOARDTREE ST, Westwood, MA 02090

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 Provencher's NPI number?

The NPI number for Mary Provencher is 1669544235. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Mary Provencher located?

Mary Provencher practices at 789 Capboardtree St Harbor Counseling Center, Westwood, MA 02090. The listed phone number is (781) 234-1318.

What is Mary Provencher'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 Provencher was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.