Individual provider Active NPI

Carla Ferrari Ibelle, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1760580864
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW00907 Issued in RI
Practice address
325 Angell St
Providence, RI 02906-3245
Phone
(401) 454-4131
NPI assigned
Sep 20, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 ISW00907 RI Primary

Addresses

Primary practice location

325 Angell St
Providence, RI 02906-3245

Mailing address

325 Angell St
Providence, RI 02906-3245
Phone (401) 454-4131

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
I20050331000680 RI Practitioner - Clinical Social Worker 3577513779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW00907RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Feb 19, 2012 Accepting new patients
The Miriam Hospital CurrentSince Feb 19, 2012 Accepting new patients

Locations

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

146 W River St
Providence, RI 02904
Phone (401) 606-3000

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

593 Eddy St
Providence, RI 02903

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1760580864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063245",
            "telephone_number": "401-454-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063245",
            "telephone_number": "401-454-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBELLE",
        "first_name": "CARLA",
        "middle_name": "FERRARI",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.