Individual provider · Type 1 NPI

Jack Vezeris, LCSW

Clinical Social Worker · North Providence, RI

NPI number 1508642950 Active

Practice location

200 High Service Ave
North Providence, RI 02904-5113

Other practice locations

  • 1 River St, Wakefield, RI 02879-3214 · (401) 783-0523
  • 450 Clinton St, Woonsocket, RI 02895-3207 · (401) 767-4100
  • 186 Providence St, West Warwick, RI 02893-2508 · (401) 615-2800

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW04399 (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 1508642950

Jack Vezeris, LCSW's National Provider Identifier is 1508642950, issued on Sep 1, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in North Providence, RI. The record was last updated on Oct 2, 2026.