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

Individual provider Clinical Social Worker · NPI 1093909806

Nicole Jellinek, LICSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Massachusetts and Rhode Island. Registered with an NPI since 2007.

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

229 Waterman Ave
Providence, RI 02911-1043
Phone: (401) 289-0884
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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 ISW01854 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 111850 (MA)

Record details

NPI number1093909806
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 5, 2007
Last updated in NPPESSeptember 5, 2007

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