Active NPIIndividual provider

Jack Vezeris, LCSW

Social Worker, Clinical in North Providence, Rhode Island

NPI Number1508642950
Practice location
200 High Service Ave, North Providence, RI 02904-5113
Fax
—
Last updated
October 2, 2026

Jack Vezeris is a Social Worker, Clinical based in North Providence, RI. Jack Vezeris practices in North Providence, RI and has the professional credentials of LCSW. The NPI Number for Jack Vezeris is 1508642950 and holds a License No. CSW04399 (RI). The current practice location address for Jack Vezeris is 200 High Service Ave, North Providence, RI 02904-5113 and can be reached out via phone at 401-456-3000.

Provider Profile Details

NPI Number
1508642950
Provider Name
Jack Vezeris
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
200 High Service Ave, North Providence, RI 02904-5113
Phone Number
401-456-3000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 1, 2023
Last Update Date
October 2, 2026
Certification Date
October 2, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
Zip
02904-5113
Phone Number
401-456-3000
North Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
200 High Service Ave
North Providence, RI 02904-5113
City
North Providence
State
RI
Zip
02904-5113

License Information

License Number
CSW04399
License State
RI
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

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 Jack Vezeris, LCSW?

The NPI number of Jack Vezeris, LCSW is 1508642950. It was assigned on September 1, 2023 and is currently active in the NPPES registry.

What is the specialty of Jack Vezeris, LCSW?

Jack Vezeris, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in RI under license number CSW04399.

Where does Jack Vezeris, LCSW practice?

The practice location is 200 High Service Ave, North Providence, RI 02904-5113. The office can be reached at 401-456-3000 (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 1508642950 directly on the NPPES registry website.

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