Jacquelyn Marie Provenzola, LMSW
NPI 1477114957ActiveIndividual· Social Worker· Howell, MI
Social Worker (LMSW) in Howell, Michigan, with an NPI issued in June 2019.
Overview
| NPI | 1477114957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Jun 25, 2019 |
| Last updated in NPPES | Apr 18, 2023 |
| Certified by provider | Apr 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | 6801105007 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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