Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Keoviphone, LCSW

Individual provider Clinical Social Worker · NPI 1851069769

Jessica Keoviphone, LCSW is a Clinical Social Worker in West Warwick, Rhode Island. Qualified in 2019, 7 years ago. Practices with Thundermist Health Center, a 165-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
7
Licensed in
RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

186 Providence St
West Warwick, RI 02893-2508
Phone: (401) 615-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 River St, Wakefield, RI 02879-3214 — (401) 767-4100
  • 450 Clinton St, Woonsocket, RI 02895-3207 — (401) 767-4100

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04538 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW02611 (RI)

Record details

NPI number1851069769
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Thundermist Health Center — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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