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

Individual provider Clinical Social Worker · NPI 1205985389

Mrs. Theresa E Jenner, LICSW is a Clinical Social Worker in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Massachusetts and Rhode Island.

Licensed in
MA, RI
In the registry since
2007
Specialties on file
2
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

593 Eddy St Rhode Island Hospital
Providence, RI 02903
Phone: (401) 444-4044
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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 ISW02252 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 114933 (MA)

Record details

NPI number1205985389
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJanuary 9, 2007
Last updated in NPPESOctober 4, 2023
Certification dateOctober 2, 2023

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