Jillian Fenton LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

01636 Issued in RI

Legal business name

JILLIAN FENTON LLC

Doing business as

Jillian Fenton, LICSW

Practice address

11 King Charles Dr
Suite a
Portsmouth, RI 02871-1364

Phone

(401) 683-2555

NPI assigned

Aug 26, 2008

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jillian Fenton, MSW, LICSWNPI 1083665921

Title

Clinical Social Worker

Phone

(401) 683-2555

Specialties & licenses 1

Addresses

Other names 1

• Jillian Fenton, LICSW Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jillian Fenton, MSW, LICSW

  • Clinical Social Worker
  • Portsmouth, RI
  • NPI 1083665921
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1992952402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364",
            "telephone_number": "401-683-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364",
            "telephone_number": "401-683-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLIAN FENTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "401-683-2555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "01636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jillian Fenton, LICSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert Janik, PHARMD
• Jocelyn Arruda
• Eric Martin Johnsen, D.M.D.
• Meghan Teresa Jordan, COTA
• Joseph D. Pianka, MD, Inc.
• Amber Kaltenstein, PSY.D.

• Clinical Social Worker in Portsmouth, RI
• Providers in Portsmouth, 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 Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.