MS. JENNIFER MACDONALD DEWOLF MSW, LICSW
NPI 1063461309
Counselor - Mental Health in Portsmouth, RI
Active since May 05, 2006
About Ms. Jennifer Macdonald Dewolf Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JENNIFER MACDONALD DEWOLF MSW, LICSW (NPI 1063461309) is an individual mental health provider in Portsmouth, Rhode Island, licensed in Rhode Island (ISW01206) and active in the NPI registry since May 2006.
NPPES Registry Identity
NPI1063461309
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENNIFER MACDONALD DEWOLFCredential: MSW, LICSW
Location Address2679 E MAIN RDPortsmouth, RI 02871-2613
Mailing Address9 Weetamoe Farm DrBristol, RI 02809-5199 · (401) 245-0533
Phone(401) 935-3359
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063461309 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in RI · ISW01206
2679 E MAIN RD, Portsmouth, RI 02871
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063461309, enumerated as an "individual" on May 05, 2006.
The provider is located at 2679 E MAIN RD PORTSMOUTH, RI 02871 and the phone number is (401) 935-3359.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
