Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennafer Rochelle Provinse

Individual provider Clinical Social Worker · NPI 1346558772

Jennafer Rochelle Provinse is a Clinical Social Worker in Encino, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2010
Specialties on file
4

Practice location Address checks out

15720 Ventura Blvd Ste 420
Encino, CA 91436-4711
Phone: (562) 449-9258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 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 & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 117856 (CA)
Social Worker Taxonomy 104100000X · Licence 82093 (CA)
Clinical Social Worker Taxonomy 1041C0700X (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 82093 (CA)

Record details

NPI number1346558772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2010
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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