Jayna Klatzker, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01631 Issued in RI

Practice address

2 Regency PLZ
Suite 12
Providence, RI 02903-3160

Phone

(401) 297-2021

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1689706673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 REGENCY PLZ",
            "address_2": "SUITE 12",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033160",
            "telephone_number": "401-297-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REGENCY PLZ",
            "address_2": "SUITE 12",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033160",
            "telephone_number": "401-297-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLATZKER",
        "first_name": "JAYNA",
        "name_prefix": "Ms.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01631",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Claire Kite, M.D.
• Janice Marion Kizirian, MD
• Kelly L. Klampert, OTR L
• Jasmina Klapic, CRNA
• Grace Klaris, MD
• Donald E Klein, MD
• Jessica Lee Klein, LICSW
• Madeline J. Klein, LICSW
• Matthew Richard Klein, MD
• Robert B Klein, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.