Kellie Moreau-Walshe, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

249 Roosevelt Ave
Pawtucket, RI 02860-2134

Phone

(401) 724-8400

NPI assigned

May 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Inner You LLC

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1225464209
  Medicare reassignment
• Embodied Living Counseling, LLC

  • Clinical Social Worker
  • North Kingstown, RI
  • NPI 1942804885
  NPD (past)
• The Inner You

  • Clinical Social Worker
  • Warwick, RI
  • NPI 1386177566
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1801244140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LIONEL AVE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165945",
            "telephone_number": "401-500-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ROOSEVELT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602134",
            "telephone_number": "401-724-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREAU-WALSHE",
        "first_name": "KELLIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steyci Monteiro
• Savannah Moon, MSHA
• Liani Luisa Moore, LICSW
• Sando Moore
• Vanesa Morales, LMHC, NCSP
• Amy Moreira, LMHC
• Oswaldo Moreno, PH.D.
• Estrellita Moronta, LCSW
• Mary Morowitz, RN
• Jessica L Morse, PA-C

• Clinical Social Worker in Pawtucket, RI
• Providers in Pawtucket, 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 Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.