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

Individual provider Clinical Social Worker · NPI 1346618154

MS. Monique Nellie Provencio is a Clinical Social Worker in Stockton, California. Practices as a sole proprietor. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

430 N Pilgrim St
Stockton, CA 95205-4428
Phone: (000) 000-0000
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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 ASW136999 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 150.118978 (IL)

Record details

NPI number1346618154
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2015
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026

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