Kelli Rivelli, LICSW
NPI 1104919117ActiveIndividual· Social Worker, Clinical· Johnston, RI
Social Worker, Clinical (LICSW) in Johnston, Rhode Island, trained at University of Arkansas College of Medicine (class of 2021). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104919117 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Oct 2, 2006 |
| Last updated in NPPES | Nov 5, 2024 |
| Certified by provider | Nov 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | ISW04259 | RI |
| Counselor | 101Y00000X | L.C.D.P. # NOT RCVD | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (RI) |
|---|
Education and affiliations
| Medical school | University of Arkansas College of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Child and Family Psychiatry, Inc.South Kingstown, RI · 101 clinicians
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All 68 clinical social workers in Johnston · All clinical social workers in Rhode Island