Individual
JESSICA LEE KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 RICHMOND SQ STE 103K, PROVIDENCE, RI 02906-5166
(401) 728-1800
Mailing address
200 MAIN ST STE 210, PAWTUCKET, RI 02860-4119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
ISW03235
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
Enumeration date
01/11/2008
Last updated
03/25/2026
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