Active NPIIndividual provider

Ms. Jessica Walsh, LICSW

Social Worker, Clinical in Riverside, Rhode Island

NPI Number1750446316
Practice location
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Fax
—
Last updated
October 14, 2009

Jessica Walsh is a Social Worker, Clinical based in Riverside, RI. Jessica Walsh practices in Riverside, RI and has the professional credentials of LICSW. The NPI Number for Jessica Walsh is 1750446316 and holds a License No. 213549 (MA). The current practice location address for Jessica Walsh is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 and can be reached out via phone at 401-437-1000.

Provider Profile Details

NPI Number
1750446316
Provider Name
Jessica Walsh
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061
Phone Number
401-437-1000
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 26, 2006
Last Update Date
October 14, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Zip
02915-5061
Phone Number
401-437-1000
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
728 Beverage Hill Ave
#19
Pawtucket, RI 02861-4473
City
Pawtucket
State
RI
Zip
02861-4473
Phone Number
508-846-8981

License Information

License Number (1)
213549
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
ISW02014
License State (2)
RI
Taxonomy (2)
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 Ms. Jessica Walsh, LICSW?

The NPI number of Ms. Jessica Walsh, LICSW is 1750446316. It was assigned on December 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Jessica Walsh, LICSW?

Ms. Jessica Walsh, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 213549.

Where does Ms. Jessica Walsh, LICSW practice?

The practice location is 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061. The office can be reached at 401-437-1000 (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 1750446316 directly on the NPPES registry website.

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