Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelsey Coletta, LICSW, LCDP

Individual provider Clinical Social Worker · NPI 1689256638

Kelsey Coletta, LICSW, LCDP is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2021, 5 years ago. Practices with Rhode Island Hospital, a 428-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Licensed in
RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

200 Corliss St
Providence, RI 02904-2602
Phone: (401) 606-8530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDP00947 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence ISW04065 (RI)

Record details

NPI number1689256638
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCDP
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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