Miss Kelli Rivelli, LICSW is a
Social Worker - Clinical based in Johnston, Rhode Island. Miss Kelli Rivelli is licensed to practice in Rhode Island (license number ISW04259) and her current practice location is
1126 Hartford Ave, Suite 101, Johnston, Rhode Island. She can be reached at her office (for appointments etc.) via phone at
(401) 351-2750.
NPI number for Miss Kelli Rivelli is 1104919117 and her current mailing address is 1126 Hartford Ave, Suite 101, Johnston, Rhode Island. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104919117.
Healthcare Provider's Profile
Full Name | Miss Kelli Rivelli |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1126 Hartford Ave, Johnston, Rhode Island |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104919117
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 11/05/2024
Medical Identifiers
Medical identifiers for Miss Kelli Rivelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104919117 | NPI | - | NPPES |
TT24187 | Medicaid | RI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | L.C.D.P. # NOT RCVD (Rhode Island) | Secondary |
1041C0700X | Social Worker - Clinical | ISW04259 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Kelli Rivelli is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Kelli Rivelli, LICSW 1126 Hartford Ave, Suite 101, Johnston, RI 02919-7130 Ph: (401) 351-2750 | Miss Kelli Rivelli, LICSW 1126 Hartford Ave, Suite 101, Johnston, RI 02919-7130 Ph: (401) 351-2750 |
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