Active NPI
JRD Counseling
- Clinical Social Worker
- Providence, RI
National Provider Identifier
1194499319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JRD COUNSELING
- Practice address
- 10 Elmgrove Ave
Providence, RI 02906-4124 - Phone
- (401) 271-3698
- NPI assigned
- Aug 2, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Reis-Driscoll, LICSW
- Title
- Owner
- Phone
- (401) 489-3635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
10 Elmgrove Ave
Providence, RI 02906-4124
Mailing address
10 Elmgrove Ave
Providence, RI 02906-4124
Phone (401) 271-3689
National Provider Directory
National Provider DirectoryLocations
10 Elmgrove Ave
Providence, RI 02906
Phone (401) 271-3689
873 Warwick Ave
Fl 2
Warwick, RI 02888
Phone (401) 271-3689
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Providence, RI
- NPI 1659316982
-
- Clinical Social Worker
- Providence, RI
- NPI 1033819594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1194499319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ELMGROVE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064124",
"telephone_number": "401-271-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ELMGROVE AVE",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029064124",
"telephone_number": "401-271-3698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JRD COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-02",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "REIS-DRISCOLL",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-489-3635",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.