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

Individual provider Social Worker · NPI 1790086387

Jill Minissa Maccormack, LICSW is a Social Worker in North Providence, Rhode Island. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
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

200 High Service Ave
North Providence, RI 02904-5113
Phone: (401) 456-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1790086387
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedNovember 12, 2010
Last updated in NPPESAugust 27, 2015

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