Provider Demographics
NPI:1376922120
Name:MURPHREE, JILLIAN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SOUTH ANGELL ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906
Mailing Address - Country:US
Mailing Address - Phone:205-441-8875
Mailing Address - Fax:
Practice Address - Street 1:18 PARKIS AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1497
Practice Address - Country:US
Practice Address - Phone:401-521-3603
Practice Address - Fax:401-521-3603
Is Sole Proprietor?:No
Enumeration Date:2015-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW025311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical