Rene Nicoletti, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03216 Issued in RI

Practice address

365 Smith St
Providence, RI 02908-3770

Phone

(401) 589-1047

NPI assigned

Jan 25, 2021

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)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lifestancehealth.renenicoletti@151046.advancedmd-direct.com

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.

• Take Root Counseling Ri

  • Clinical Social Worker
  • Providence, RI
  • NPI 1255187902
  NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1427648211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LINCOLN DR",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029192861",
            "telephone_number": "860-614-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083770",
            "telephone_number": "401-589-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029192861",
            "country_code": "US",
            "telephone_number": "860-614-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "RENE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03216",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey A Nichols, LCSW
• Patrick A Nichols, RN
• Linda Nici, M.D.
• Nickerson Community Center
• Christina Nickerson
• Duyu Nie, M.D., PH.D
• Kate Marie Nielsen, PH.D.
• Amethys Nieves, LCSW
• Lillian T. Nieves, PHARMD
• Jason Niewiecki, R.D/LDN

• Clinical Social Worker in Providence, RI
• Providers in Providence, 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 Sep 12, 2026; 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.