SAMANTHA LEE PROVENZANO
NPI 1912538109
Case Manager/Care Coordinator in Salt Lake City, UT

Active since January 28, 2020
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Lee Provenzano NPPES

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

SAMANTHA LEE PROVENZANO (NPI 1912538109) is an individual case manager/care coordinator provider in Salt Lake City, Utah and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1912538109
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSAMANTHA LEE PROVENZANO
Location Address4460 S HIGHLAND DR STE 210Salt Lake City, UT 84124-3550
Mailing Address4460 S Highland Dr Ste 210Salt Lake City, UT 84124-3550 · (888) 949-4864
Sole ProprietorNo
Enumeration DateJanuary 28, 2020
NPI 1912538109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

4460 S HIGHLAND DR STE 210, Salt Lake City, UT 84124

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.

Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124
Case Manager/Care Coordinator
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124

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 Samantha Provenzano's NPI number?

The NPI number for Samantha Provenzano is 1912538109. It was assigned to this individual provider in the NPPES registry on January 28, 2020.

Where is Samantha Provenzano located?

Samantha Provenzano practices at 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124. The listed phone number is (888) 949-4864.

What is Samantha Provenzano's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samantha Provenzano was last updated on January 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.