Provider Demographics
NPI:1538803234
Name:KESSLER, JESSICA GAIL (LICSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:GAIL
Last Name:KESSLER
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 1:7214 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6451
Mailing Address - Country:US
Mailing Address - Phone:917-535-2026
Mailing Address - Fax:
Practice Address - Street 1:OUTPATIENT BEHAVIORAL HEALTH
Practice Address - Street 2:216 MICHIGAN AVE NE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017
Practice Address - Country:US
Practice Address - Phone:202-877-3627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC200014431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical