Catherine Provenzano
NPI 1669875936ActiveOrganization· Social Worker, Clinical· Port Jefferson Station, NY
Social Worker, Clinical in Port Jefferson Station, New York, registered in NPPES in October 2014. The authorized official on file is Catherine Provenzano, LCSW, Clinical Social Worker.
Overview
| NPI | 1669875936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 1, 2014 |
| Last updated in NPPES | Oct 1, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 081438 | NY |
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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