Jessica Fresh, LICSW
Social Worker, Clinical in Riverside, Rhode Island
1679093629- Practice location
- 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
- Phone
- 401-432-1000
- Fax
- —
- Last updated
- April 13, 2022
Jessica Fresh is a Social Worker, Clinical based in Riverside, RI. Jessica Fresh practices in Riverside, RI and has the professional credentials of LICSW. The NPI Number for Jessica Fresh is 1679093629 and holds a License No. 119785 (MA). The current practice location address for Jessica Fresh is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 and can be reached out via phone at 401-432-1000.
Provider Profile Details
- NPI Number
- 1679093629
- Provider Name
- Jessica Fresh
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
- Phone Number
- 401-432-1000
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Jessica Pavao (Former Name)
- Provider Enumeration Date
- June 21, 2017
- Last Update Date
- April 13, 2022
- Certification Date
- April 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061 - City
- Riverside
- State
- Rhode Island
- Zip
- 02915-5061
- Phone Number
- 401-432-1000
Provider Business Mailing Address Details
- Address
- 12 Harris Ave
Warren, RI 02885-2308 - City
- Warren
- State
- RI
- Zip
- 02885-2308
License Information
- License Number (1)
- 119785
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- ISW02964
- 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. | |||
Other Social Worker, Clinical providers near Riverside, RI
View all Social Worker, Clinical providers in Riverside →- Andrea Mcdonald, LICSWSocial Worker, Clinical · NPI 1134645658
- Freila A TejedaSocial Worker, Clinical · NPI 1598653081
- Jayne L Halpin, LICSWSocial Worker, Clinical · NPI 1750527818
- Jean M Schayer, LICSWSocial Worker, Clinical · NPI 1780861393
- Jessica MirandaSocial Worker, Clinical · NPI 1790472959
- Kristen E Parrish, LCSWSocial Worker, Clinical · NPI 1083405476
Frequently Asked Questions
What is the NPI number of Jessica Fresh, LICSW?
The NPI number of Jessica Fresh, LICSW is 1679093629. It was assigned on June 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Jessica Fresh, LICSW?
Jessica Fresh, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 119785.
Where does Jessica Fresh, LICSW practice?
The practice location is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061. The office can be reached at 401-432-1000 (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 1679093629 directly on the NPPES registry website.