ROSY CHAN PROVINO LCSW
NPI 1578077343
Social Worker - Clinical in Eureka, CA
About Rosy Chan Provino Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROSY CHAN PROVINO LCSW (NPI 1578077343) is an individual clinical provider in Eureka, California, licensed in California (61392) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rosy Chan Provino Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Rosy Provino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Chino, CA 91710
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EUREKA, CA 95501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rosy Provino's NPI number?
The NPI number for Rosy Provino is 1578077343. It was assigned to this individual provider in the NPPES registry on November 30, 2017.
Where is Rosy Provino located?
Rosy Provino practices at 720 Wood St, Eureka, CA 95501. The listed phone number is (707) 268-2990.
What is Rosy Provino's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Rosy Provino enrolled in Medicare?
Yes. Rosy Provino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rosy Provino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rosy Provino reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PC (San Jose, CA) and Quest Health Management Psychological Corporation (Chino, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rosy Provino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rosy Provino was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rosy Chan Provino, LCSW · NPI 1578077343
Clinical provider in Eureka, California. Individual provider, active in the CMS NPPES registry since November 30, 2017.
## Identity
- **NPI:** 1578077343 (Entity type: Individual)
- **Enumerated:** November 30, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 61392 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 WOOD ST, Eureka, CA 95501-4413
- **Phone:** (707) 268-2990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PC (NPI 1154994846, San Jose, CA); Quest Health Management Psychological Corporation (NPI 1245791490, Chino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 30, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1578077343) · Data from the CMS NPPES public registry.