NICOLE JELLINEK (NPI# 1093909806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093909806 |
| Entity Type | Individual |
| Full Name | NICOLE JELLINEK |
| Credential | LICSW |
| Practice Address |
229 Waterman Ave Providence RI 02911-1043 |
| Practice Telephone | 4012890884 |
| Mailing Telephone | 4012890884 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01854 | RI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
111850 | MA | Behavioral Health & Social Service Providers |
| Street Address |
229 WATERMAN AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02911-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790227932 | Lepre Physical Therapy | Preferred Provider Organization | 1525 Smith Street, North Providence, RI 02911 | 2016-11-04 |
| 1376916304 | Catherine Deborah Lariviere | Counselor | 7 Sunset Avenue, North Providence, RI 02911 | 2015-11-13 |
| 1184005282 | Melissa Ricciotti | Physical Therapist | 1525 Smith Street #5, North Providence, RI 02911 | 2015-06-15 |
| 1982041109 | Camia Crawford Dimock | Family Medicine | 33 Maple St, North Providence, RI 02911 | 2013-05-29 |
| 1821168642 | Patricia C Morena | Counselor | 1845 Smith St, #8, No Providence, RI 02911 | 2006-11-09 |
| 1619056355 | Robert W Gibbons | Podiatrist | 2050 Mineral Spring Ave, North Providence, RI 02911 | 2006-11-03 |
| 1063068344 | Pappas Physical Therapy LLC | Durable Medical Equipment & Medical Supplies | 1525 Smith Street, Unit #5, North Providence, RI 02911 | 2019-08-13 |
| 1306366695 | Linzi Rae Matta | Social Worker | 420 Fruit Hill Ave, North Providence, RI 02911 | 2017-06-27 |
| 1942708714 | Daphnay Laura Gabriel | Counselor | 13 Saint Marys Rd, North Providence, RI 02911-1023 | 2018-01-26 |
| 1063546562 | Gateways To Change, Inc. | Nursing Care | 9 Woodcliff Ave, North Providence, RI 02911-1067 | 2007-03-15 |
| Find all providers in zip 02911 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351714 | Live You Well LLC | Social Worker | 1 Richmond Sq Ste 132c, Providence, RI 02906-5140 | 2020-09-21 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1295362671 | Elliot Ruggles | Social Worker | 101 Tobey St, Providence, RI 02909-1830 | 2020-03-25 |
| 1497380190 | Rebecca Anne King | Social Worker | 225 Stonehenge Cir, Providence, UT 84332-9200 | 2020-03-03 |
| 1740820919 | Georgina Dauda | Social Worker | 42 Rutherglen Ave, Providence, RI 02907-3523 | 2020-01-15 |
| 1982255972 | Nicole A Faison | Social Worker | 1 Richmond Sq Ste 305w, Providence, RI 02906-5141 | 2019-09-22 |
| 1336795053 | Caitlin Beatrice Frumerie | Social Worker | 130 Vinton St Fl 2, Providence, RI 02909-1134 | 2019-08-19 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760940449 | Julie Anna-marie Panton | Social Worker | 205 Waterman St Ste 205, Providence, RI 02906-4313 | 2019-03-12 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02911 |
Please comment or provide details below to improve the information on NICOLE JELLINEK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.