Individual
MS. JESSICA JOHANNA WOLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
21 CANAL ST, SUITE 201, WESTERLY, RI 02891-1587
(401) 596-8830
(401) 596-8802
Mailing address
21 CANAL ST, SUITE 201, WESTERLY, RI 02891-1587
(401) 596-8830
(401) 596-8802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01554
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U300404468
MEDICARE PTAN
RI
Enumeration date
07/16/2008
Last updated
11/22/2017
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