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

Individual provider Clinical Social Worker · NPI 1639320013

Jennifer M Etue, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2006, 20 years ago. Practices with The Rhode Island Public Health Foundation, an 8-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
20
Licensed in
RI
In the registry since
2008
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

1 Randall Sq
Providence, RI 02904-2709
Phone: (401) 274-6339
Fax: (401) 453-6290
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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 ISW02015 (RI)

Record details

NPI number1639320013
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 3, 2008
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice The Rhode Island Public Health Foundation — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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