Individual provider Active NPI

Jennifer Pretsch, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1598143000
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02498 Issued in RI
Practice address
8 Abbott Park PL
Providence, RI 02903-3703
Phone
(401) 598-1016
NPI assigned
May 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW02498 RI Primary
Clinical Social Worker 1041C0700X 118218 MA

Addresses

Primary practice location

8 Abbott Park PL
Providence, RI 02903-3703

Mailing address

8 Abbott Park PL
Wales Hall, 2ND Floor
Providence, RI 02903-3703
Phone (401) 598-1016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW02498RIMDClinical Social Worker
118218MAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1598143000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ABBOTT PARK PL",
            "address_2": "WALES HALL, 2ND FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033703",
            "telephone_number": "401-598-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ABBOTT PARK PL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033703",
            "telephone_number": "401-598-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETSCH",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-16",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02498",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118218",
            "primary": false
        }
    ],
    "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 Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.