Individual
JENNIFER W. JENCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PARKWAY, EAST PROVIDENCE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01282
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ISW01282
PROFESSIONAL LICENSE
RI
Enumeration date
10/08/2012
Last updated
10/08/2012
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