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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.

JACK VEZERIS LCSW
NPI 1508642950
Social Worker - Clinical in North Providence, RI

Active since September 01, 2023PECOS Enrolled
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904(401) 456-3000 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 2, 2026, Feb 2, 2026, Sep 1, 2023 (3 updates tracked since 2023).

About Jack Vezeris Lcsw NPPES

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

JACK VEZERIS LCSW (NPI 1508642950) is an individual clinical provider in North Providence, Rhode Island, licensed in Rhode Island (CSW04399) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508642950
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK VEZERISCredential: LCSW
Location Address200 HIGH SERVICE AVENorth Providence, RI 02904-5113
Mailing Address200 High Service AveNorth Providence, RI 02904-5113
Phone(401) 456-3000
Sole ProprietorNo
Enumeration DateSeptember 1, 2023
Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1508642950 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 · CSW04399
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.
200 HIGH SERVICE AVE, North Providence, RI 02904
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 River StWakefield, RI 02879-3214 · Phone (401) 783-0523
Location 2450 Clinton StWoonsocket, RI 02895-3207 · Phone (401) 767-4100
Location 3186 Providence StWest Warwick, RI 02893-2508 · Phone (401) 615-2800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Vezeris Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. JOSEPH HEALTH SERVICES OF RI
General Acute Care Hospital
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
THOMAS HOPKINS P.A.
Physician Assistant
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
CHRISTINE L CONSTANTINEAU CSW
Social Worker (Clinical)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
JONA VOLCY
Social Worker
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-2525
UCHECHUKWU UGORJI DO
Psychiatry & Neurology (Psychiatry)
200 HIGH SERVICE AVE
N PROVIDENCE, RI 02904
Providence County (401) 456-3000
DR. KATHERINE MARIE WATERS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3155
VLADANA ALEMAN-BRIZUELA M.D.
Emergency Medicine
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
Providence County (401) 456-3000
ABDOL HAMID SHAHINFAR MD
Radiology (Diagnostic Radiology)
200 HIGH SERVICE AVE, RADIOLOGY DEPARTMENT
NORTH PROVIDENCE, RI 02904
Providence County (413) 456-4215

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 Jack Vezeris's NPI number?

The NPI number for Jack Vezeris is 1508642950. It was assigned to this individual provider in the NPPES registry on September 1, 2023.

Where is Jack Vezeris located?

Jack Vezeris practices at 200 High Service Ave, North Providence, RI 02904. The listed phone number is (401) 456-3000.

What is Jack Vezeris's specialty?

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

Is Jack Vezeris enrolled in Medicare?

Yes. Jack Vezeris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Vezeris was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.