| Doctor Name: | MS. JESSICA JOHANNA WOLKE |
| NPI Number: | 1073777298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | ISW01554 |
| Business Practice Address: | 47 High St Suite 202 Westerly, RI - 028916028 |
| Business Phone Number: | 4015968830 |
| Business Fax Number: | 4015968802 |
| Mailing Address: | Po Box 171, SHANNOCK |
| State: | RI |
| Postal Code: | 028750171 |
| Phone Number: | 4015968830 |
| Fax Number: | 4015968802 |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 11/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ISW01554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |