Kelley Forbes Reilly, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02557 Issued in RI

Practice address

6 John H Chafee Blvd
Newport, RI 02840-1034

Phone

(401) 848-2160

NPI assigned

May 20, 2006

Last updated

Jan 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1033163498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JOHN H CHAFEE BLVD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401034",
            "telephone_number": "401-848-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JOHN H CHAFEE BLVD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401034",
            "telephone_number": "401-848-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "KELLEY",
        "middle_name": "FORBES",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008843",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Ramos, LMHC
• Clayton Rau, DDS
• Ready Set Latch Go
• Jaina Reid
• Christopher M Reidy, LICSW
• Olivia Reilly
• Barbara Reiser, MD
• Resonance, LLC (Gracious Audette)
• Restorative Nutrition, LLC
• Matthew J Reuter, MD

• Clinical Social Worker in Newport, RI
• Providers in Newport, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.