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DEBORAH A. JESDALE LICSW LMHC NPI 1841328580


NPI Information

NPI: 1841328580
Provider Name: DEBORAH A. JESDALE, LICSW, LMHC
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
155 MAIN RD
TIVERTON, RI
ZIP 02878
Phone: (401) 624-7473
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Deborah A. Jesdale, LICSW, LMHC is a social worker in Tiverton, RI with 33 years of experience. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Deborah A. Jesdale, LICSW, LMHC NPI is 1841328580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

155 MAIN RD
TIVERTON, RI
ZIP 02878-236
Phone: (401) 624-7473
Fax: (401) 683-2109

The NPI 1841328580 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 5/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerISW01065RHODE ISLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126943OTHERRHODE ISLANDRI BLUE CROSS BLUE SHIELD
21021420OTHERRHODE ISLANDBEACON HEALTH STRATEGIES
3408941OTHERRHODE ISLANDBLUE CHIP COORDINATED HEA
4809002694MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.