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

Jessica Stults, LICSW

Individual provider Clinical Social Worker · NPI 1720670243

Jessica Stults, LICSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2021.

Licensed in
RI
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

305 S Main St Ste C
Providence, RI 02903-7133
Phone: (401) 415-7254
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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 ISW03230 (RI)

Record details

NPI number1720670243
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 5, 2021
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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