Marisa Provenzano, LCSW
Clinical Social Worker · San Diego, CA
Marisa Provenzano, LCSW is a clinical social worker with a practice address in San Diego, California, and NPI 1003707522, issued on Jul 12, 2025. Check the license (California 128960, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Marisa Provenzano
- Credential
- LCSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- 128960 CA
Self-reported in NPPES; status is on the state search - Practice location
- 5060 Shoreham PL Ste 100, San Diego, CA 92122
- Phone
- (877) 840-6956
- Enumerated
- Jul 12, 2025
- Record last updated
- Jul 12, 2025
- Medicare enrollment
- Enrolled (PECOS I20251009000639); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 36,261 in California → Look up another NPI →
Also registered at 5060 Shoreham PL Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Christine Blalock, LCSWClinical Social Worker1265953293
- Stephanie Chen, M.D.Psychiatry Physician1629509534
- Christine CostelloSocial Worker1366939183
- Toni Locke, FNPFamily Nurse Practitioner1356752786
- Zachary Love, DNPPsychiatric/Mental Health Nurse Practitioner1851962716
- Elizabeth Power, MFTMarriage & Family Therapist1144820440
Verify Marisa Provenzano in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 128960Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Sokyahealth Medical Group PCSan Diego, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marisa Provenzano among 36,261 clinical social worker records in California
Marisa Provenzano, LCSW is one of 36,261 clinical social worker records with a practice address in California. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 94% of them.
- NPI issued2025 · 94% of these records are older, 2% newer
- In a Medicare fileYes · 6% of these records are
- In the CMS Doctors and Clinicians fileYes · 11% of these records are
- Graduated2021 · median 2012 among the 4,008 with a school on file
- Record last updated2025 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2,036 clinical social worker records list a practice address in San Diego
They are 2,036 of the 52,937 NPPES records with a practice address in San Diego, and 36,261 clinical social worker records in California.
All 36,261 in California → Every provider in San Diego → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Jennifer Bishop, LCSWSan Diego, CA 921221417214081
- Christine Blalock, LCSWSan Diego, CA 921221265953293
- Kristen Clayton, LCSWSan Diego, CA 921221396914057
- Marta Contreras, LCSW-CSan Diego, CA 921221679849137
- Victoria Kapper, LCSWSan Diego, CA 921221801349014
- Gena Katzer, LCSWSan Diego, CA 921221598242828
- Courtney Keith, LCSW 111075San Diego, CA 921221770093452
- Amanda Morales, LCSW 27881San Diego, CA 921221477707503
Common questions
What is Marisa Provenzano, LCSW's NPI number?
Marisa Provenzano, LCSW's National Provider Identifier (NPI) is 1003707522, issued on Jul 12, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Marisa Provenzano, LCSW located?
The NPPES record lists a practice address at 5060 Shoreham PL Ste 100, San Diego, CA, 92122. Phone: (877) 840-6956. Providers update this record themselves, so call before visiting.
How can I verify Marisa Provenzano, LCSW's license?
NPPES lists California license number 128960, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.