Provider Demographics
NPI:1952561037
Name:AKERS, JESSICA A (LICSW)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:A
Last Name:AKERS
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 1:1 RICHMOND SQ
Mailing Address - Street 2:STE 103K
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5166
Mailing Address - Country:US
Mailing Address - Phone:508-812-0525
Mailing Address - Fax:401-223-6354
Practice Address - Street 1:1 RICHMOND SQ
Practice Address - Street 2:STE 103K
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5166
Practice Address - Country:US
Practice Address - Phone:508-812-0525
Practice Address - Fax:401-223-6354
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIISW02182OtherPROFESSIONAL LICENSE