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

Mr. Dayle Anthony Provencher, LCSW

Individual provider Clinical Social Worker · NPI 1215882246

Mr. Dayle Anthony Provencher, LCSW is a Clinical Social Worker in Lakewood, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2026
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

1550 Dover St
Lakewood, CO 80215-3106
Phone: (720) 323-6000
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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 CSW.09932904 (CO)

Record details

NPI number1215882246
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 4, 2026
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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