Individual
MS. JESSICA DANIELLE BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Mailing address
1000 EDDY ST, PROVIDENCE, RI 02905-4739
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BCROSS
RI
01
—
412296
EI BCHIP
RI
01
—
6400144
UNITED
RI
05
—
ES01788
—
RI
Enumeration date
07/30/2007
Last updated
07/30/2007
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