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JESSICA FRESH LICSW
NPI 1679093629
Social Worker - Clinical in Riverside, RI

Active since June 21, 2017PECOS Enrolled
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 432-1000 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, Jun 21, 2017 (2 updates tracked since 2017).

About Jessica Fresh Licsw NPPES

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

JESSICA FRESH LICSW (NPI 1679093629) is an individual clinical provider in Riverside, Rhode Island, licensed in Rhode Island (ISW02964) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Bedford.

NPPES Registry Identity

NPI1679093629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA FRESHCredential: LICSW
Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915-5061
Mailing Address12 Harris AveWarren, RI 02885-2308
Phone(401) 432-1000
Sole ProprietorNo
Enumeration DateJune 21, 2017
Last NPPES UpdateApril 13, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1679093629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in RI · ISW02964✔ Licensed in MA · 119785
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.
1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915
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Other Names 1

Former Name (1)Jessica Pavao

Secondary Practice Location 1

Location 1101 Page StNew Bedford, MA 02740-3464 · Phone (508) 973-1515

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Fresh Licsw 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 02915 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.

JUSTYNA PIASECKA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. VAMSI C TUMMALACHETTY PSYD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MOLLIE BURNS LCSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MARIA S REGAN MSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915
Providence County (401) 432-1160
DR. ORNELLA JUDITH POTTER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. ANDREA LILLIAN GOLD PH.D.
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
TANUJA P GANDHI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
ANDREA REBECCA NEAL-BEEVERS PHD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000

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 Fresh's NPI number?

The NPI number for Jessica Fresh is 1679093629. It was assigned to this individual provider in the NPPES registry on June 21, 2017. The provider is also known as Jessica Pavao.

Where is Jessica Fresh located?

Jessica Fresh practices at 1011 Veterans Memorial Pkwy, Riverside, RI 02915. The listed phone number is (401) 432-1000.

What is Jessica Fresh's specialty?

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

Is Jessica Fresh enrolled in Medicare?

Yes. Jessica Fresh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Fresh was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.