Individual provider · Type 1 NPI

Jackson Melnick

Clinical Social Worker · Providence, RI

NPI number 1629643176 Active

Practice location

394 Angell St
Providence, RI 02906-4075

Call (970) 596-3194 Map

Mailing address

116 Rice Ave
East Providence, RI 02914-1836

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	None listed

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 1629643176

Jackson Melnick's National Provider Identifier is 1629643176, issued on May 26, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Feb 26, 2026.