Individual
DEBORAH A. JESDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LMHC
Contact information
Practice address
92 MAIN RD FL 2, TIVERTON, RI 02878-1126
(401) 624-7473
(401) 683-2109
Mailing address
155 MAIN RD, TIVERTON, RI 02878-1236
(401) 624-7473
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW01065
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021420
BEACON HEALTH STRATEGIES
RI
01
—
26943
RI BLUE CROSS BLUE SHIELD
RI
01
—
408941
BLUE CHIP COORDINATED HEA
RI
Enumeration date
03/02/2007
Last updated
11/18/2025
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