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

Rosy Chan Provino, LCSW

Individual provider Clinical Social Worker · NPI 1578077343

Rosy Chan Provino, LCSW is a Clinical Social Worker in Eureka, California. Qualified in 2006, 20 years ago. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2017
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

720 Wood St
Eureka, CA 95501-4413
Phone: (707) 268-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 61392 (CA)

Record details

NPI number1578077343
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 30, 2017
Last updated in NPPESNovember 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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