Individual provider · Type 1 NPI

Jessica Fresh, LICSW

Clinical Social Worker · Riverside, RI

NPI number 1679093629 Active

Practice location

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061

Mailing address

12 Harris Ave
Warren, RI 02885-2308

Other practice locations

  • 101 Page St, New Bedford, MA 02740-3464 · (508) 973-1515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X119785 (MA)
Clinical Social Worker Primary 1041C0700XISW02964 (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 1679093629

Jessica Fresh, LICSW's National Provider Identifier is 1679093629, issued on Jun 21, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Riverside, RI. The record was last updated on Apr 13, 2022.