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

Miss. Kelli Rivelli, LICSW

Individual provider Counselor · NPI 1104919117

Miss. Kelli Rivelli, LICSW is a Clinical Social Worker in Johnston, Rhode Island. Graduated from University of Arkansas College of Medicine in 2021, 5 years ago. Practices with Child and Family Psychiatry, Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
5
Trained at
University of Arkansas College of Medicine
Licensed in
RI
In the registry since
2006
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

1126 Hartford Ave Ste 101
Johnston, RI 02919-7130
Phone: (401) 351-2750
Fax: (401) 351-7002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04259 (RI)
Counselor Taxonomy 101Y00000X · Licence L.C.D.P. # NOT RCVD (RI)

Record details

NPI number1104919117
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Child And Family Psychiatry, Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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