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Catherine Provenzano

Clinical Social Worker in Port Jefferson Station, NY · enumerated 2014 · authorized official Catherine Provenzano, Clinical Social Worker.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669875936

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Registry record

Entity type Organization (Type 2)
Legal business name Catherine Provenzano
Practice address 1050 Hallock Ave, Port Jefferson Station, NY, 11776
Phone (631) 487-5162
Enumeration date Oct 1, 2014
Last updated in NPPES Oct 1, 2014

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 081438 (NY) Primary

Authorized official

Name Catherine Provenzano
Title Clinical Social Worker
Phone (631) 487-5162

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Catherine Provenzano?
The NPI for Catherine Provenzano is 1669875936, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Catherine Provenzano?
NPPES lists Catherine Provenzano (Clinical Social Worker) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-01.