Provider Demographics
NPI:1801204672
Name:PRZYGODA, JENNIFER SASLAW (LICSW)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SASLAW
Last Name:PRZYGODA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LEIGH
Other - Last Name:SASLAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 GOULD ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2143
Mailing Address - Country:US
Mailing Address - Phone:214-552-0574
Mailing Address - Fax:
Practice Address - Street 1:170 AQUIDNECK AVE STE 2
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-7600
Practice Address - Country:US
Practice Address - Phone:401-250-8797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker