Individual provider · Type 1 NPI

Jill Van Leesten, LCSW

Clinical Social Worker · Providence, RI

NPI number 1972218345 Active

Practice location

460 Pine St
Providence, RI 02907-1358

Mailing address

300 York Ave Apt 4
Pawtucket, RI 02860-5835

Other practice locations

  • 1540 Pontiac Ave, Cranston, RI 02920-4472 · (401) 781-7000

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW02835 (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 1972218345

Jill Van Leesten, LCSW's National Provider Identifier is 1972218345, issued on Jan 19, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Apr 7, 2025.