Jessica Stults, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03230 Issued in RI

Practice address

305 S Main St Ste C
Providence, RI 02903-7133

Phone

(401) 415-7254

NPI assigned

Feb 5, 2021

Last updated

Oct 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Sojourner House

  • Case Management Agency
  • Providence, RI
  • NPI 1659726081
  NPD (past)

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1720670243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S MAIN ST STE C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029037133",
            "telephone_number": "401-415-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S MAIN ST STE C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029037133",
            "telephone_number": "401-415-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Pine St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029071358",
            "country_code": "US",
            "telephone_number": "401-272-0220",
            "fax_number": "401-274-9372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STULTS",
        "first_name": "JESSICA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel D Strother
• Denise Strycharz
• Gregory L. Stuart, PHD
• Ashley Stuckey, MD
• Anne Stulik, NP
• Allison Stumper, PHD
• Stephanie Sturgis, OD
• Emily Lucile Sturm, MD
• Ellen M Sturtevant
• Stanley John Stutz Jr.

• 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 Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.