Search › Rhode Island › 1041C0700X

Jessica Clark, LICSW

NPI 1154610269 · on the registry since 2011 · sole proprietor

Practice

Address
55 Floyd Ave
Riverside, RI 02915
Phone
(401) 743-5313

Additional practice sites

  • 1240 Pawtucket Ave, Rumford, RI

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island