Kristen Jeanne Acciari, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02184 Issued in RI

Practice address

659 Sandy LN
Warwick, RI 02889-8241

Phone

(401) 441-8449

Fax

(888) 602-6957

NPI assigned

Aug 11, 2009

Last updated

Nov 14, 2016By 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

Other names 1

• Kristen Jeanne Petrella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• The Holistic Heart, LLC

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1740735257
  NPD (past) Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1427280346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 SANDY LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898241",
            "telephone_number": "401-441-8449",
            "fax_number": "888-602-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 SANDY LN",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028898241",
            "telephone_number": "401-441-8449",
            "fax_number": "888-602-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCIARI",
        "first_name": "KRISTEN",
        "middle_name": "JEANNE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW01259",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "PETRELLA",
            "middle_name": "JEANNE",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ahmad Ehab Mohammad Abu Dayyeh, MD
• Accentcare Hospice & Palliative Care of Rhode Island, LLC
• Accentcare Medical Group of Rhode Island, PC
• Access Solutions
• Erin Elizabeth Acciardo
• Nina Ackmann, LICSW
• Janet Arlene Acosta
• Acu Well Acupuncture & Integrative Nedicine
• Ada Home Solutions
• Alicia Maurice Adams, MA

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, 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 Nov 14, 2016; 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.