Individual provider Active NPI

Nealisse Morillo

  • Clinical Social Worker
  • Warwick, RI
National Provider Identifier
1710692355
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03952 Issued in RI
Practice address
623 Post Rd
Warwick, RI 02888-1861
Phone
(401) 419-9955
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X ISW03952 RI Primary

Addresses

Primary practice location

623 Post Rd
Warwick, RI 02888-1861

Mailing address

469 Centerville Rd Ste 105
Warwick, RI 02886-4356
Phone (401) 773-3700

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
I20250207002271 RI Practitioner - Clinical Social Worker 0446780290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW03952RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aer Mental Wellness Clinical CurrentSince Dec 14, 2025 Accepting new patients
Child and Family Psychiatry, Inc. Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830

400 Bald Hill Rd
Ste 530
Warwick, RI 02886
Phone (401) 737-9091

623 Post Rd
Warwick, RI 02888
Phone (401) 419-9955

Organizations & group practices 2

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": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1710692355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864356",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 POST RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881861",
            "telephone_number": "401-419-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORILLO",
        "first_name": "NEALISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.