Individual provider · Type 1 NPI

Jessie Janelle Vargas

Clinical Social Worker · Pawtucket, RI

NPI number 1205716669 Active

Practice location

200 Main St Ste 210
Pawtucket, RI 02860-4119

Call (401) 728-1800 Map

Fax (401) 633-7119

Mailing address

200 Main St
Pawtucket, RI 02860-4131

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	CSW04162 (RI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1205716669

Jessie Janelle Vargas's National Provider Identifier is 1205716669, issued on Sep 5, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pawtucket, RI. The record was last updated on Sep 5, 2025.