Provider Demographics
NPI:1144950304
Name:MCGUIRE, JESSICA LYN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:LYN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:884 HARTFORD PIKE
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:RI
Mailing Address - Zip Code:02857-1099
Mailing Address - Country:US
Mailing Address - Phone:140-193-4133
Mailing Address - Fax:
Practice Address - Street 1:884 HARTFORD PIKE
Practice Address - Street 2:N/A
Practice Address - City:SCITUATE
Practice Address - State:RI
Practice Address - Zip Code:02857-0285
Practice Address - Country:US
Practice Address - Phone:401-934-1336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-12
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW026681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical