Mrs. Susan M Montella-Jelley, LICSW
Social Worker, Clinical in Lincoln, Rhode Island
1104906395- Practice location
- 101 Higginson Ave Ste 107D, Lincoln, RI 02865-2734
- Phone
- 508-369-8904
- Fax
- —
- Last updated
- September 18, 2009
Susan Marie Montella-Jelley is a Social Worker, Clinical based in Lincoln, RI. Susan Marie Montella-Jelley practices in Lincoln, RI and has the professional credentials of LICSW. The NPI Number for Susan Marie Montella-Jelley is 1104906395 and holds a License No. ISW00726 (RI). The current practice location address for Susan Marie Montella-Jelley is 101 Higginson Ave Ste 107D, Lincoln, RI 02865-2734 and can be reached out via phone at 508-369-8904.
Provider Profile Details
- NPI Number
- 1104906395
- Provider Name
- Susan Marie Montella-Jelley
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 101 Higginson Ave Ste 107D, Lincoln, RI 02865-2734
- Phone Number
- 508-369-8904
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 16, 2006
- Last Update Date
- September 18, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 101 Higginson Ave Ste 107D
Lincoln, RI 02865-2734 - City
- Lincoln
- State
- Rhode Island
- Zip
- 02865-2734
- Phone Number
- 508-369-8904
Provider Business Mailing Address Details
- Address
- 101 Higginson Ave Ste 107D
Lincoln, RI 02865-2734 - City
- Lincoln
- State
- RI
- Zip
- 02865-2734
- Phone Number
- 508-369-8904
License Information
- License Number
- ISW00726
- License State
- RI
- Taxonomy
- 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 Mrs. Susan M Montella-Jelley, LICSW?
The NPI number of Mrs. Susan M Montella-Jelley, LICSW is 1104906395. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Mrs. Susan M Montella-Jelley, LICSW?
Mrs. Susan M Montella-Jelley, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00726.
Where does Mrs. Susan M Montella-Jelley, LICSW practice?
The practice location is 101 Higginson Ave Ste 107D, Lincoln, RI 02865-2734. The office can be reached at 508-369-8904 (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 1104906395 directly on the NPPES registry website.