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Active NPI 1104919117 Individual Practitioner Female Practitioner

Kelli Rivelli , LICSW

Social Worker - Clinical • Johnston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kelli Rivelli, LICSW is a certified Social Worker - Clinical practicing in Johnston, RI. With approximately 5 years of clinical experience since graduating from University Of Arkansas College Of Medicine in 2021, Kelli Rivelli delivers high-quality medical care to the local community at 1126 HARTFORD AVE.

Kelli Rivelli is affiliated with Child And Family Psychiatry, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1126 Hartford Ave
Suite 101

Johnston, RI 029197130

Telephone 4013512750
Fax 4013517002
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Arkansas College Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Johnston, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -9.4 yrs vs City Avg
City Avg: 14.4 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
67 Specialists

Practicing in Johnston, RI (2501 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rivelli (5 Years) 5 Yrs
Johnston Specialty Average (14.4 Years) 14.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-11-05
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License RI ISW04259

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License RI L.C.D.P. # NOT RCVD

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
TT24187 (RI)

Hospital & Practice Group Affiliations

Child And Family Psychiatry, Inc.

300 Toll Gate Rd, Warwick, RI 028864416

Phone: 4014670333

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Charlene Cassese , RNP

Nurse Practitioner - Family

NPI 1205953569
Kasandra Henriques , LCSW

Social Worker - Clinical

NPI 1265135099

Licensed Clinical Social Worker

Alice Mui , APRN

Nurse Practitioner - Family

NPI 1275032476

Advanced Practice Registered Nurse

Habiba Kure , FNP

Nurse Practitioner - Family

NPI 1275263329

Family Nurse Practitioner

NPI 1275984866

Doctor of Dental Medicine

Joseph Albertario , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326424466

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated November 05, 2024

Recorded as KELLI RIVELLI, LICSW

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1126 HARTFORD AVE, SUITE 101, JOHNSTON, RI 029197130 (Tel: 4013512750)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1126 HARTFORD AVE, SUITE 101, JOHNSTON, RI 029197130 (Tel: 4013512750)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KELLI LUSSIER, B.S.W., L.C.D.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #L.C.D.P. # NOT RCVD in RI)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104919117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: November 05, 2024
Sole Proprietor: Yes

Mailing Address

1126 Hartford Ave, Suite 101

Johnston, RI 029197130

Phone: 4013512750

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.