| Jessica J. Wolke Licsw Inc | |
|
21 Canal St Ste 201 Westerly RI 02891-1587 | |
| (401) 596-8830 | |
| Not Available |
| Full Name | Jessica J. Wolke Licsw Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 21 Canal St Ste 201, Westerly, Rhode Island |
| Authorized Official Name and Position | Tonya Cassell (BILLING AGENT) |
| Authorized Official Contact | 8604054951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica J. Wolke Licsw Inc 21 Canal St Ste 201 Westerly RI 02891-1587 Ph: (401) 596-2475 | Jessica J. Wolke Licsw Inc 21 Canal St Ste 201 Westerly RI 02891-1587 Ph: (401) 596-8830 |
| NPI Number | 1891209284 |
|---|---|
| Provider Enumeration Date | 11/22/2017 |
| Last Update Date | 01/01/2024 |
| Certification Date | 01/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891209284 | NPI | - | NPPES |
| U300404468 | Other | RI | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW01554 (Rhode Island) | Primary |
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