Provider Demographics
NPI:1124780614
Name:HOXIE, JENNIFER ALEXIS (LICSW)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ALEXIS
Last Name:HOXIE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 PULASKI ROAD
Mailing Address - Street 2:
Mailing Address - City:CHEPACHET
Mailing Address - State:RI
Mailing Address - Zip Code:02814-1002
Mailing Address - Country:US
Mailing Address - Phone:401-714-5479
Mailing Address - Fax:
Practice Address - Street 1:466 PUTNAM PIKE UNIT 7
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:RI
Practice Address - Zip Code:02828-3002
Practice Address - Country:US
Practice Address - Phone:401-830-6676
Practice Address - Fax:855-209-6676
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-12
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILSW044221041C0700X
RICSW026361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical