JENNIFER M ETUE LICSW
NPI 1639320013
Social Worker - Clinical in Providence, RI

Q: What is Jennifer Etue's NPI number?

The NPI number for Jennifer Etue is 1639320013. It was assigned to this individual provider in the NPPES registry on October 3, 2008. The provider is also known as Jennifer M Willoughby Licsw.

Q: What is Jennifer Etue's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Etue was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment

1 RANDALL SQ, PROVIDENCE, RI 02904(401) 274-6339(401) 453-6290 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2023, Apr 5, 2019 (2 updates tracked since 2019).

On this page

About Jennifer M Etue Licsw NPPES

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

JENNIFER M ETUE LICSW (NPI 1639320013) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW02015) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1639320013

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER M ETUECredential: LICSW

Location Address1 RANDALL SQProvidence, RI 02904-2709

Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400 · Fax (401) 444-0468

Phone(401) 274-6339

Fax(401) 453-6290

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateOctober 3, 2008

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1639320013 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 · ISW02015

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.

1 RANDALL SQ, Providence, RI 02904

Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer M Willoughby Licsw

Other Identifiers 2

MedicaidJE72997RI

Other1021740Nhp/beacon Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer M Etue Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335276484

PECOS Enrollment IDI20100421000197

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.

PHINA A MAYU NP

Nurse Practitioner (Adult Health)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

MAYELIN PACHECO NUNEZ NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

STANLEY H. BLOCK MD

Allergy & Immunology

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 444-0414

DR. JAMES J YASHAR M.D

Specialist

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (140) 196-5777

THE PROVIDENCE COMMUNITY HEALTH CENTERS, INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

PAUL W WEHBE MD

Pediatrics

1 RANDALL SQ, SUITE 404-406
PROVIDENCE, RI 02904

Providence County (401) 861-5183

CARDIOLOGY CONSULTANTS, LLC

Internal Medicine (Cardiovascular Disease)

1 RANDALL SQ, SUITE 305
PROVIDENCE, RI 02904

Providence County (401) 223-0223

COURTNEY HUNT NP

Nurse Practitioner (Family)

1 RANDALL SQ
PROVIDENCE, RI 02904

Providence County (401) 274-6339

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 Jennifer Etue's NPI number?

The NPI number for Jennifer Etue is 1639320013. It was assigned to this individual provider in the NPPES registry on October 3, 2008. The provider is also known as Jennifer M Willoughby Licsw.

Where is Jennifer Etue located?

Jennifer Etue practices at 1 Randall Sq, Providence, RI 02904. The listed phone number is (401) 274-6339.

What is Jennifer Etue's specialty?

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

Is Jennifer Etue enrolled in Medicare?

Yes. Jennifer Etue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Etue accept?

Health plans from Harvard Pilgrim Health Care list Jennifer Etue as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Etue was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.