Doctor Name: | JESSICA PAWLOWSKI |
NPI Number: | 1245360270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | ISW01816 |
Business Practice Address: | 215 Washington St West Warwick, RI - 028935017 |
Business Phone Number: | 4018221360 |
Business Fax Number: | 4018234694 |
Mailing Address: | 352 Forest Ave, MIDDLETOWN |
State: | RI |
Postal Code: | 028424639 |
Phone Number: | 4018221360 |
Fax Number: | 4018234694 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | ISW01816 |
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 |