MANUEL PROVENCIO LMSW
NPI 1780426122
Social Worker - Clinical in Scottsdale, AZ

Active since June 07, 2024
1375 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85257(480) 877-9284 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manuel Provencio Lmsw NPPES

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

MANUEL PROVENCIO LMSW (NPI 1780426122) is an individual clinical provider in Scottsdale, Arizona, licensed in Arizona (LMSW-20309) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1780426122
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMANUEL PROVENCIOCredential: LMSW
Location Address1375 N SCOTTSDALE RD STE 200Scottsdale, AZ 85257-3429
Mailing Address22888 E Desert Hills DrQueen Creek, AZ 85142-8898 · (480) 570-0370
Sole ProprietorYes
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
NPI 1780426122 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 AZ · LMSW-20309
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.
1375 N SCOTTSDALE RD STE 200, Scottsdale, AZ 85257

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.

Social Worker (Clinical)
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Social Worker (Clinical)
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Counselor (Mental Health)
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Social Worker (Clinical)
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Marriage & Family Therapist
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Counselor (Mental Health)
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Social Worker (Clinical)
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257
Social Worker
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257

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 Manuel Provencio's NPI number?

The NPI number for Manuel Provencio is 1780426122. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Manuel Provencio located?

Manuel Provencio practices at 1375 N Scottsdale Rd Ste 200, Scottsdale, AZ 85257. The listed phone number is (480) 877-9284.

What is Manuel Provencio'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 Manuel Provencio was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.