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General NPI Number Information
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NPI Number | 1699199158
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Entity Type | Individual
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Provider Name | JESSICA G VEROLINE LICSW
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Gender | Female
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 23 NORTH ROAD BUILDING A SUITE 11
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City | SOUTH KINGSTOWN
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State | RI
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Zip | 02879-8132
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Country | US
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Telephone | 401-447-9771
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Fax |
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Provider Business Mailing Address
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Address Line | 23 NORTH ROAD BUILDING A SUITE 11
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City | SOUTH KINGSTOWN
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State | RI
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Zip | 02879-8132
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Country | US
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Telephone | 401-447-9771
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06263300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 089829
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4942
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW02727
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License Number State | RI
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