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

Jacqueline Provenzano, LCSW

Individual provider Social Worker · NPI 1316411770

Jacqueline Provenzano, LCSW is a Social Worker in Centerville, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2019.

Licensed in
MA
In the registry since
2019
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1185 Falmouth Rd
Centerville, MA 02632-3066
Phone: (508) 862-9929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 000224420 (MA)

Record details

NPI number1316411770
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJanuary 17, 2019

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