Deborah A. Jesdale, LICSW, LMHC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW01065 Issued in RI

Practice address

92 Main Rd FL 2
Tiverton, RI 02878-1126

Phone

(401) 624-7473

Fax

(401) 683-2109

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sakonnet Associates Counseling

  • Mental Health Counselor
  • Tiverton, RI
  • NPI 1508264565
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1841328580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781236",
            "telephone_number": "401-624-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN RD FL 2",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781126",
            "telephone_number": "401-624-7473",
            "fax_number": "401-683-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESDALE",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "credential": "LICSW, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW01065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS BLUE SHIELD",
            "identifier": "26943",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP COORDINATED HEA",
            "identifier": "408941",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1021420",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Humphrey-Arruda, LAT, ATC, LMT, BCMTB
• Innovative Senior Care Home Health of Rhode Island LLC
• James Azar
• JCR Counseling LLC
• Kay Jenkins, DDS
• Joseph a Boivin O.D., LTD
• Marshall Edward Kadin, M.D.
• Allyson Kapuscinski
• W. Scott Keigwin, DO
• Kathryn Kelly, MSPT

• Social Worker in Tiverton, RI
• Providers in Tiverton, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.