Individual provider Active NPI

Jessica Lee Klein, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1720264450
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03235 Issued in RI
Practice address
1 Richmond SQ Ste 103K
Providence, RI 02906-5166
Phone
(401) 728-1800
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW03235 RI Primary

Addresses

Primary practice location

1 Richmond SQ Ste 103K
Providence, RI 02906-5166

Mailing address

200 Main St Ste 210
Pawtucket, RI 02860-4119

Other names 1

  • Jessica Lee Moroney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001101 RI Practitioner - Clinical Social Worker 6103203013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Cerebral Palsy of Rhode Island IncGroup PAC ID 7214314541, 5 clinicians

Practice addresses (Care Compare)

1 Richmond SQ
Suite 103K
Providence, RI 02906-5166
Phone 4017281800103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of Rhode Island, Inc. CurrentSince Apr 1, 2022 Accepting new patients
The Inner You Clinical Past Accepting new patients
Inner You LLC Clinical PastSince Jan 1, 2015 Accepting new patients

Locations

200 Main St
Ste 210
Pawtucket, RI 02860
Phone (401) 728-1800

1 Richmond Sq
Ste 103K
Providence, RI 02906
Phone (401) 288-1002

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1720264450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 210",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 103K",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065166",
            "telephone_number": "401-728-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MORONEY",
            "middle_name": "LEE",
            "credential": "B.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.