Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeanne Bazelak, LICSW

Individual provider Clinical Social Worker · NPI 1801952924

Jeanne Bazelak, LICSW is a Clinical Social Worker in Johnston, Rhode Island. Qualified in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
40
Licensed in
RI
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1308 Atwood Ave
Johnston, RI 02919-4936
Phone: (401) 942-8449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW00163 (RI)

Record details

NPI number1801952924
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 1, 2007
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address1308 Atwood Ave, Johnston, RI 02919-4936

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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