Jennifer W. Jencks, Ph.D.
Social Worker, Clinical in Riverside, RI. Individual provider (NPI-1).
NPI number1063764652
StatusActive
Last updated in NPPESOct 8, 2012
Details
- NPI
- 1063764652
- Entity type
- Individual (NPI-1)
- Name
- Jennifer W. Jencks
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2012
- Last updated
- Oct 8, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ISW01282 | RI | Yes |
Practice location
1011 Veterans Memorial PkwyRiverside, RI 02915-5061
Phone 401-432-1000 · Fax 401-432-1500
Mailing address
1011 Veterans Memorial ParkwayEast Providence, RI 02915-5061
Phone 401-432-1000 · Fax 401-432-1500
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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