Individual
TANEIL S JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
61 IONA ST, PROVIDENCE, RI 02908-2307
(401) 699-4471
Mailing address
61 IONA ST, PROVIDENCE, RI 02908-2307
(401) 699-4471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02036
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TJ70001
—
RI
Enumeration date
03/19/2008
Last updated
07/31/2025
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