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

Jacquelyn Marie Provenzola, LMSW

Individual provider Clinical Social Worker · NPI 1477114957

Jacquelyn Marie Provenzola, LMSW is a Clinical Social Worker in Howell, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

4902 Chilson Rd
Howell, MI 48843-9453
Phone: (248) 385-2524
Fax: (844) 640-0684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801105007

Record details

NPI number1477114957
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

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