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General NPI Number Information
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NPI Number | 1144950304
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Entity Type | Individual
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Provider Name | JESSICA LYN MCGUIRE LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2022
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 900 DOUGLAS PIKE STE 220
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City | SMITHFIELD
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State | RI
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Zip | 02917-1879
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Country | US
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Telephone | 401-452-0123
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Fax | 401-941-7847
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Provider Business Mailing Address
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Address Line | 884 HARTFORD PIKE
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City | SCITUATE
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State | RI
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Zip | 02857-1099
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Country | US
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Telephone | 140-193-4133
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW04481
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License Number State | RI
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