Fabiano, Jessica S
Fabiano, Jessica S is an individual health care provider with primary practice located at 640 George Washington Highway Suite 103, Lincoln RI 02865. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fabiano, Jessica S can be contacted via phone (401) 286-1917.Contact Information
Primary practice address
640 George Washington Highway Suite 103
Lincoln RI 02865
Phone: (401) 286-1917
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01847 | Rhode Island |
Profile Details
| NPI number | 1932200763 |
|---|---|
| LBN Legal business name | Fabiano, Jessica S |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Aug 12th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932200763 | NPPES |
| Rhode Island | MEDICAID | JC52646 |
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