Jillian Fenton, Licsw - Medicare Mental Health Clinic in Portsmouth, RI

Jillian Fenton, Licsw is a medicare enrolled mental health clinic (Social Worker - Clinical) in Portsmouth, Rhode Island. The current practice location for Jillian Fenton, Licsw is 11 King Charles Dr, Suite A, Portsmouth, Rhode Island. For appointments, you can reach them via phone at (401) 683-2555. The mailing address for Jillian Fenton, Licsw is 11 King Charles Dr, Suite A, Portsmouth, Rhode Island and phone number is (401) 683-2555.

Jillian Fenton, Licsw is licensed to practice in Rhode Island (license number 01636). The clinic also participates in the medicare program and its NPI number is 1992952402. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (401) 683-2555.

Contact Information

Jillian Fenton, Licsw
11 King Charles Dr
Suite A
Portsmouth
RI 02871-1364
(401) 683-2555
Not Available

Mental Health Clinic Profile

Full NameJillian Fenton, Licsw
SpecialitySocial Worker
Location11 King Charles Dr, Portsmouth, Rhode Island
Authorized Official Name and PositionJillian Fenton (CLINICAL SOCIAL WORKER)
Authorized Official Contact4016832555
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jillian Fenton, Licsw
11 King Charles Dr
Suite A
Portsmouth
RI 02871-1364

Ph: (401) 683-2555
Jillian Fenton, Licsw
11 King Charles Dr
Suite A
Portsmouth
RI 02871-1364

Ph: (401) 683-2555

NPI Details:

NPI Number1992952402
Provider Enumeration Date08/26/2008
Last Update Date08/26/2008

Medicare PECOS Information:

Medicare PECOS PAC ID9234206053
Medicare Enrollment IDO20080922000007

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Medical Identifiers

Medical identifiers for Jillian Fenton, Licsw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992952402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 01636 (Rhode Island)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jillian Fenton, Licsw acts as a billing entity for following providers:
Provider NameJillian Fenton
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083665921
PECOS PAC ID: 4183628993
Enrollment ID: I20060911000317

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