Marisa Provenzano, LCSW
- Affiliated sites
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2025
- Practice address
- 5060 Shoreham Pl Suite 330 Suite 330, San Diego, CA 92122-5976
- Practice phone
- Call (858) 427-5060
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Sokyahealth Medical Group - San Diego (Shoreham Pl)
Behavioral health practice · San Diego, California
Find Marisa Provenzano's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Marisa Provenzano is a clinical social worker in San Diego, California
Marisa Provenzano practices at Sokyahealth Medical Group - San Diego (Shoreham Pl) in San Diego, California.
Marisa Provenzano's NPI, 1003707522, was assigned on July 12, 2025. Marisa Provenzano holds California license 128960.
- NPI
- 1003707522NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3375040942
- NPI enumeration date
- July 12, 2025
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (858) 427-5060
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Female
- Estimated age
- 31
- Medical school graduation
- 2021
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Marisa Provenzano practices at Sokyahealth Medical Group - San Diego (Shoreham Pl) in San Diego, California
Marisa Provenzano's primary practice is Sokyahealth Medical Group - San Diego (Shoreham Pl), at 5060 Shoreham Pl Suite 330 Suite 330, San Diego, CA 92122-5976. The practice phone is (858) 427-5060.
- Sokyahealth Medical Group - San Diego (Shoreham Pl)5060 Shoreham Pl Suite 330 Suite 330, San Diego, CA 92122-5976Phone(858) 427-5060
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Marisa Provenzano is affiliated with 1 site of care and 1 medical group
Marisa Provenzano's primary practice is Sokyahealth Medical Group - San Diego (Shoreham Pl) in San Diego, California. The medical group on file is Headlight.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Marisa Provenzano's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Marisa Provenzano practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Sokyahealth Medical Group - San Diego (Shoreham Pl) | Available with a free account |
Source: Dmand AI Technology Install Data
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Marisa Provenzano is one of 9,919 clinical social workers in California
Social worker is Marisa Provenzano's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Marisa Provenzano is licensed in California.
Specialties and state licenses
- Clinical social worker, CaliforniaPrimary
Clinical social workers near Marisa Provenzano
Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Marisa Provenzano's patients have a median age of 30
Across all payers, Dmand AI patient panel data puts Marisa Provenzano's median patient age at 30, with 64% women.
Marisa Provenzano's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 30
Patient panel by sex, all payers
- Women64%
- Men35%
Source: Dmand AI Patient Panel Data
Marisa Provenzano offers telehealth to Medicare patients
Marisa Provenzano accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Marisa Provenzano as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Marisa Provenzano's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Marisa Provenzano
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Marisa Provenzano's NPI number?
Marisa Provenzano's NPI number is 1003707522. It was assigned on July 12, 2025, and it is active in the NPI Registry.
What does Marisa Provenzano specialize in?
Marisa Provenzano is a clinical social worker in San Diego, California. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).
Where does Marisa Provenzano practice?
Marisa Provenzano practices at 5060 Shoreham Pl Suite 330 Suite 330, San Diego, CA 92122-5976. Marisa Provenzano's primary practice is Sokyahealth Medical Group - San Diego (Shoreham Pl) in San Diego, California.
What is Marisa Provenzano's office phone number?
The practice phone on file for Marisa Provenzano is (858) 427-5060.
What is Marisa Provenzano's medical license number?
Marisa Provenzano holds California license 128960.
What medical group is Marisa Provenzano part of?
Marisa Provenzano is linked to Headlight.
Does Marisa Provenzano accept Medicare?
Yes. CMS lists Marisa Provenzano as accepting Medicare assignment.
Does Marisa Provenzano offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Marisa Provenzano as offering telehealth services.
How long has Marisa Provenzano been practicing?
Marisa Provenzano graduated from medical school in 2021, 5 years ago.
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