Individual provider · Type 1 NPI

Jennafer Rochelle Provinse

Clinical Social Worker · Encino, CA

NPI number 1346558772 Active

Practice location

15720 Ventura Blvd Ste 420
Encino, CA 91436-4711

Call (562) 449-9258 Map

Mailing address

2201 E Willow St # 169
Signal Hill, CA 90755-2148

Other practice locations

  • 1200 Wilshire Blvd, Los Angeles, CA 90017-1908 · (213) 481-7464
  • 2201 E Willow St # 169, Signal Hill, CA 90755-2148 · (562) 449-9258

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X117856 (CA)
Social Worker 104100000X82093 (CA)
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor 101YM0800X82093 (CA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1346558772

Jennafer Rochelle Provinse's National Provider Identifier is 1346558772, issued on Sep 20, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Encino, CA. The record was last updated on Oct 11, 2023.