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ANNETTE CECILE PROVENCHER MSW LCSW
NPI 1972715738
Social Worker - Clinical in Red Bank, NJ

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
210 BROAD ST, RED BANK, NJ 07701(732) 876-3094(732) 615-2359 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Annette Cecile Provencher Msw Lcsw NPPES

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

ANNETTE CECILE PROVENCHER MSW LCSW (NPI 1972715738) is an individual clinical provider in Red Bank, New Jersey, licensed in New Jersey (44SC04823100) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1972715738
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNETTE CECILE PROVENCHERCredential: MSW LCSW
Location Address210 BROAD STRed Bank, NJ 07701-2060
Mailing Address24 Chapman TerMiddletown, NJ 07748-1563 · (732) 615-2359
Phone(732) 876-3094
Fax(732) 615-2359
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 4, 2007
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1972715738 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 NJ · 44SC04823100
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.
210 BROAD ST, Red Bank, NJ 07701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Annette Cecile Provencher Msw Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214975721
PECOS Enrollment IDI20050425000240
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Annette Provencher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Annette Provencher Lcsw LLC
5.5 mi
Clinical
24 CHAPMAN TER
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1225579162 (732) 876-3094

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

BRITT MELEWSKI LCSW
Social Worker (Clinical)
210 BROAD ST
RED BANK, NJ 07701
Monmouth County (732) 539-0230
NICOLE REBECCA AMOYAL-PENSAK PH.D.
Psychologist (Clinical)
210 BROAD ST
RED BANK, NJ 07701
Monmouth County (609) 283-2056
BRITT MELEWSKI DBA MELEWSKI COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
210 BROAD ST
RED BANK, NJ 07701
Monmouth County (305) 772-1123

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 Annette Provencher's NPI number?

The NPI number for Annette Provencher is 1972715738. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Annette Provencher located?

Annette Provencher practices at 210 Broad St, Red Bank, NJ 07701. The listed phone number is (732) 876-3094.

What is Annette Provencher's specialty?

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

Is Annette Provencher enrolled in Medicare?

Yes. Annette Provencher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Annette Provencher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Provencher reassigns Medicare benefits to Annette Provencher Lcsw LLC (Middletown, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Provencher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annette Provencher accept?

Health plans from Oscar Health list Annette Provencher 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 Annette Provencher was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.