Kayla L Donnelly

Individual provider Active NPI Clinical Social Worker · Coventry, RI

NPI 1407582406 · NPPES record last updated Jan 13, 2026

Key facts

NPI
1407582406
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW04732 (RI)
Practice address
5 Eleanor Dr
Coventry, RI 02816-7710
Phone
(401) 648-1560
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ISW04732RIMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW04732 RI Yes

Addresses

Primary practice location

5 Eleanor Dr
Coventry, RI 02816-7710

Mailing address

5 Eleanor Dr
Coventry, RI 02816-7710
Phone (401) 648-1560

Other providers in Coventry, RI

All providers in Coventry, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.