Individual provider Active NPI

Kayla Angelini, LCSW

  • Clinical Social Worker
  • Tiverton, RI
National Provider Identifier
1104626050
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW03315 Issued in RI
Practice address
16 Prospect HL
Tiverton, RI 02878-4527
Phone
(508) 493-4384
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW03315 RI Primary

Addresses

Primary practice location

16 Prospect HL
Tiverton, RI 02878-4527

Mailing address

16 Prospect HL
Tiverton, RI 02878-4527
Phone (508) 493-4384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260210001253 RI Practitioner - Clinical Social Worker 3476032442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1345 Mendota Heights Rd
Mendota Heights, MN 55120-1129

1345 Mendota Heights Rd
Mendota Heights, MN 55120-2006

1526 Atwood Ave
Johnston, RI 02919-3289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW03315RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellie Mental Health of Rhode Island, PC CurrentSince Dec 31, 2025 Accepting new patients

Locations

1526 Atwood Ave
Johnston, RI 02919
Phone (401) 273-9400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1104626050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PROSPECT HL",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784527",
            "telephone_number": "508-493-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PROSPECT HL",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784527",
            "telephone_number": "508-493-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELINI",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW03315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.