Active NPIIndividual provider

Ms. Wendela R Jiskoot, MSW LICSW

Social Worker, Clinical in Bristol, Rhode Island

NPI Number1346278421
Practice location
57 Franklin St, Bristol, RI 02809
Fax
—
Last updated
July 8, 2007

Wendela Regina Jiskoot is a Social Worker, Clinical based in Bristol, RI. Wendela Regina Jiskoot practices in Bristol, RI and has the professional credentials of MSW LICSW. The NPI Number for Wendela Regina Jiskoot is 1346278421 and holds a License No. ISW00079 (RI). The current practice location address for Wendela Regina Jiskoot is 57 Franklin St, Bristol, RI 02809 and can be reached out via phone at 401-253-3130.

Provider Profile Details

NPI Number
1346278421
Provider Name
Wendela Regina Jiskoot
Credential
MSW LICSW
Provider Entity Type
Individual
Gender
Female
Address
57 Franklin St, Bristol, RI 02809
Phone Number
401-253-3130
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Mrs. Wendela Regina Mcknett, MSW (Former Name)
Provider Enumeration Date
June 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Franklin St
Bristol, RI 02809
Zip
02809
Phone Number
401-253-3130
Bristol, RI 02809Get directions →

Provider Business Mailing Address Details

Address
57 Franklin St
Bristol, RI 02809
City
Bristol
State
RI
Zip
02809
Phone Number
401-253-3130

License Information

License Number (1)
ISW00079
License State (1)
RI
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
107136
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Wendela R Jiskoot, MSW LICSW?

The NPI number of Ms. Wendela R Jiskoot, MSW LICSW is 1346278421. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Wendela R Jiskoot, MSW LICSW?

Ms. Wendela R Jiskoot, MSW LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number ISW00079.

Where does Ms. Wendela R Jiskoot, MSW LICSW practice?

The practice location is 57 Franklin St, Bristol, RI 02809. The office can be reached at 401-253-3130 (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 1346278421 directly on the NPPES registry website.

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