Catherine Provenzano, in Port Jefferson Station, NY

Catherine Provenzano, is a Social Worker - Clinical based in Port Jefferson Station, New York. Catherine Provenzano is licensed to practice in New York (license number 081438) and her current practice location is 1050 Hallock Ave, Port Jefferson Station, New York. She can be reached at her office (for appointments etc.) via phone at (631) 487-5162.

NPI number for Catherine Provenzano is 1508269838 and her current mailing address is 1050 Hallock Ave, Port Jefferson Station, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508269838.

Contact Information

	Catherine Provenzano,
	1050 Hallock Ave, Port Jefferson Station, NY 11776-1214
	(631) 487-5162
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Catherine Provenzano
Gender	Female
Speciality	Social Worker - Clinical
Location	1050 Hallock Ave, Port Jefferson Station, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1508269838
Provider Enumeration Date: 10/01/2014
Last Update Date: 10/01/2014

Medical Identifiers

Medical identifiers for Catherine Provenzano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508269838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	081438 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Catherine Provenzano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Catherine Provenzano, 1050 Hallock Ave, Port Jefferson Station, NY 11776-1214 Ph: (631) 487-5162	Catherine Provenzano, 1050 Hallock Ave, Port Jefferson Station, NY 11776-1214 Ph: (631) 487-5162

Reviews and Comments

Social Worker in Port Jefferson Station, NY

Ms. Amy Elizabeth Millheiser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 516-443-0363
Ms. Ronnie L. Steiner, LCSW-R, CASAC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 516-446-8368 Fax: 631-854-2550
Mr. Victor James Goldman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Hallock Ave, Suite 4, Port Jefferson Station, NY 11776 Phone: 631-928-4114 Fax: 631-476-0766
Peyton-ann Weiss, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 Kensington Way, Port Jefferson Station, NY 11776 Phone: 631-335-6957
Mr. Paul W. Zampieron, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1050 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-680-0304 Fax: 631-473-3091
Mr. James A Seitz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Bergen Pl, Port Jefferson Station, NY 11776 Phone: 631-721-0670
Debra Lograno Dazzo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-473-1320

Catherine Provenzano, - Clinical Social Worker in Port Jefferson Station, NY