Individual
JILLIAN TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
96 COOMER AVE, WARREN, RI 02885-3716
(774) 218-9670
Mailing address
1471 ELMWOOD AVE, CRANSTON, RI 02910-3849
(401) 724-8400
(401) 722-5280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02376
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH57134
—
RI
Enumeration date
08/17/2011
Last updated
08/01/2025
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