MRS. MARY ELLEN PROVENCHER (LICSW) – Clinical Social Worker, NPI 1669544235

MRS. MARY ELLEN PROVENCHER (LICSW) is a healthcare provider. based in Westwood, Massachusetts. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 100755 (MA). The NPI Number for MRS. MARY ELLEN PROVENCHER (LICSW) is 1669544235

Main info

Female
Name
MRS. MARY ELLEN PROVENCHER (LICSW)
NPI
1669544235
Phone
(781) 234-1318
Address
789 CAPBOARDTREE ST
Enumeration Date
15 November 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MARY ELLEN PROVENCHER (LICSW)

  • 789 CAPBOARDTREE ST

    HARBOR COUNSELING CENTER

    WESTWOOD, MA 02090

    Phone: (781) 234-1318

    Type: Location

  • 2;4;6;8;10;12;14;16, Clear Pond Drive, Swan Pond Condo Association, Walpole, Norfolk County, Massachusetts, 02081, United States

    WALPOLE, MA 020814310

    Phone: (508) 660-1971

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02090)

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Frequently asked questions

What NPI should I save for MRS. MARY ELLEN PROVENCHER (LICSW)?
Save NPI 1669544235 if you need a stable reference for MRS. MARY ELLEN PROVENCHER (LICSW).
Is MRS. MARY ELLEN PROVENCHER (LICSW) active in the national directory?
MRS. MARY ELLEN PROVENCHER (LICSW)'s public NPI profile is in an active state.
What kind of provider is MRS. MARY ELLEN PROVENCHER (LICSW)?
The page reflects Clinical Social Worker for MRS. MARY ELLEN PROVENCHER (LICSW). Clinical services aligned with this taxonomy classification.
Where is MRS. MARY ELLEN PROVENCHER (LICSW)'s primary listing?
We display Westwood, Massachusetts because that is what the record indicates for MRS. MARY ELLEN PROVENCHER (LICSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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