# JESSICA J. WOLKE LICSW INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jessica J. Wolke
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891209284
- **Authorized official:** TONYA CASSELL (BILLING AGENT)
- **Authorized official phone:** (860) 405-4951

## Contact information

- **Practice address:** 21 CANAL ST STE 201, WESTERLY, RI 02891-1587
- **Practice address phone:** (401) 596-8830
- **Mailing address:** 21 CANAL ST STE 201, WESTERLY, RI 02891-1587
- **Mailing address phone:** (401) 596-2475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | ISW01554 | RI | Yes |

## Other

- **Enumeration date:** 11/22/2017
- **Last updated:** 01/01/2024
