Nicole Jellinek, LICSW
Social Worker, Clinical in Providence, Rhode Island
1093909806- Practice location
- 229 Waterman Ave, Providence, RI 02911-1043
- Phone
- 401-289-0884
- Fax
- —
- Last updated
- September 5, 2007
Nicole Jellinek is a Social Worker, Clinical based in Providence, RI. Nicole Jellinek practices in Providence, RI and has the professional credentials of LICSW. The NPI Number for Nicole Jellinek is 1093909806 and holds a License No. 111850 (MA). The current practice location address for Nicole Jellinek is 229 Waterman Ave, Providence, RI 02911-1043 and can be reached out via phone at 401-289-0884.
Provider Profile Details
- NPI Number
- 1093909806
- Provider Name
- Nicole Jellinek
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 229 Waterman Ave, Providence, RI 02911-1043
- Phone Number
- 401-289-0884
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 5, 2007
- Last Update Date
- September 5, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 229 Waterman Ave
Providence, RI 02911-1043 - City
- Providence
- State
- Rhode Island
- Zip
- 02911-1043
- Phone Number
- 401-289-0884
Provider Business Mailing Address Details
- Address
- 229 Waterman Ave
Providence, RI 02911-1043 - City
- Providence
- State
- RI
- Zip
- 02911-1043
- Phone Number
- 401-289-0884
License Information
- License Number (1)
- 111850
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- ISW01854
- License State (2)
- RI
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nicole Jellinek, LICSW?
The NPI number of Nicole Jellinek, LICSW is 1093909806. It was assigned on September 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Nicole Jellinek, LICSW?
Nicole Jellinek, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 111850.
Where does Nicole Jellinek, LICSW practice?
The practice location is 229 Waterman Ave, Providence, RI 02911-1043. The office can be reached at 401-289-0884 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093909806 directly on the NPPES registry website.