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Sean E. Provencio

  • Pasadena, CA
  • Clinical social worker
NPI1083508857PAC ID6406348408
Medical group
1
State license
1
Year NPI issued
2025
Practice address
617 S Hudson Ave, Pasadena, CA 91106
Practice phone
Call (626) 808-5784
Professional email
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Personal email
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Mobile number
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Social profiles

Medical group

Ellie Mental Health San Dimas, CA

San Dimas, California

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Sean E. Provencio is a clinical social worker in Pasadena, California

Sean Provencio practices with Ellie Mental Health San Dimas, CA, a medical group.

Sean Provencio's NPI, 1083508857, was assigned on June 5, 2025. Sean Provencio holds California license ACSW96270.

NPI and contact details
NPI
1083508857NPI Registry (opens in a new tab)
Medicare PAC ID
6406348408
NPI enumeration date
June 5, 2025
NPI status
Active
Practice phone
(626) 808-5784
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Sean E. Provencio's practice address is in Pasadena, California

Sean Provencio's practice address in the NPI Registry is 617 S Hudson Ave, Pasadena, CA 91106. The practice phone is (626) 808-5784.

  • NPI Registry address
    617 S Hudson Ave, Pasadena, CA 91106Phone(626) 808-5784

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Sean E. Provencio is affiliated with 1 medical group

Sean Provencio is part of Ellie Mental Health San Dimas, CA, a medical group in San Dimas, California.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Sean E. Provencio's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Sean Provencio practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Ellie Mental Health San Dimas, CAAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dmand AI maps EHR vendors, IT decision makers and buying committees across Ellie Mental Health San Dimas, CA and 6.2K+ hospitals, with verified contacts in the same login.

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Sean E. Provencio is one of 9,919 clinical social workers in California

Social worker is Sean Provencio's primary specialty in the NPI Registry, under taxonomy code 1041C0700X. The record also lists clinical. Sean Provencio is licensed in California.

Specialties and state licenses

  • Clinical social worker, CaliforniaPrimaryLicense ACSW96270 · taxonomy 1041C0700X

Clinical social workers near Sean Provencio

Counts of clinical social workers with a Dmand AI profile, by place and practice. Each opens the list.

9,919clinical social workers in California78clinical social workers in Pasadena2clinical social workers at Ellie Mental Health San Dimas, CA

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Sources for Sean E. Provencio's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Sean E. Provencio

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Sean E. Provencio's NPI number?

Sean E. Provencio's NPI number is 1083508857. It was assigned on June 5, 2025, and it is active in the NPI Registry.

What does Sean E. Provencio specialize in?

Sean E. Provencio is a clinical social worker in Pasadena, California. The primary specialty in the NPI Registry is Clinical Social Worker (taxonomy code 1041C0700X).

Where does Sean E. Provencio practice?

Sean Provencio practices at 617 S Hudson Ave, Pasadena, CA 91106. Sean Provencio's primary practice is Ellie Mental Health San Dimas, CA, a medical group.

What is Sean E. Provencio's office phone number?

The practice phone on file for Sean Provencio is (626) 808-5784.

What is Sean E. Provencio's medical license number?

Sean Provencio holds California license ACSW96270.

What medical group is Sean E. Provencio part of?

Sean Provencio is part of Ellie Mental Health San Dimas, CA in San Dimas, California.

How long has Sean E. Provencio been practicing?

Sean Provencio's NPI was assigned in 2025.

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