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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSICA CLARK LICSW
NPI 1154610269
Social Worker - Clinical in Riverside, RI

Active since March 30, 2011
55 FLOYD AVE, RIVERSIDE, RI 02915(401) 743-5313 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Clark Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA CLARK LICSW (NPI 1154610269) is an individual clinical provider in Riverside, Rhode Island, licensed in Rhode Island (ISW02337) and active in the NPI registry since March 2011. She maintains a secondary practice location in Rumford.

NPPES Registry Identity

NPI1154610269
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA CLARKCredential: LICSW
Location Address55 FLOYD AVERiverside, RI 02915-2927
Mailing Address55 Floyd AveRiverside, RI 02915-2927 · (401) 743-5313
Phone(401) 743-5313
Sole ProprietorYes
Enumeration DateMarch 30, 2011
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1154610269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW02337
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
55 FLOYD AVE, Riverside, RI 02915
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Secondary Practice Location 1

Location 11240 Pawtucket AveRumford, RI 02916-1427 · Phone (401) 743-5313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Clark's NPI number?

The NPI number for Jessica Clark is 1154610269. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Jessica Clark located?

Jessica Clark practices at 55 Floyd Ave, Riverside, RI 02915. The listed phone number is (401) 743-5313.

What is Jessica Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jessica Clark was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.