Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Annette Cecile Provencher, MSWLCSW

Individual provider Clinical Social Worker · NPI 1972715738

Annette Cecile Provencher, MSWLCSW is a Clinical Social Worker in Red Bank, New Jersey. Qualified in 1989, 37 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
37
Licensed in
NJ
In the registry since
2007
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Practice location Address checks out

210 Broad St
Red Bank, NJ 07701-2060
Phone: (732) 876-3094
Fax: (732) 615-2359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC04823100 (NJ)

Record details

NPI number1972715738
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWLCSW
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Red Bank