Individual provider Active NPI

Kelley E Finch, LICSW

  • Clinical Social Worker
  • North Kingstown, RI
National Provider Identifier
1851458665
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01777 Issued in RI
Practice address
130 Tower Hill Rd.
North Kingstown, RI 02852
Phone
(401) 268-3886
Fax
(401) 268-3887
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 ISW01777 RI Primary

Addresses

Primary practice location

130 Tower Hill Rd.
North Kingstown, RI 02852

Mailing address

130 Tower Hill Rd.
North Kingstown, RI 02852
Phone (401) 268-3886

Other names 1

  • Kelley E Gemma Former name

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
I20071128000637 RI Practitioner - Clinical Social Worker 0446349450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Ocean State Therapy and Wellness LLCGroup PAC ID 9133460678, 3 clinicians

Practice addresses (Care Compare)

6828 Post Rd
North Kingstown, RI 02852-2100
Phone (401) 268-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01777RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean State Therapy and Wellness. LLC Clinical CurrentSince Mar 1, 2019 Accepting new patients
Kelley Gemma, LLC Dba Ocean State Psychotherapy, Inc. Past Accepting new patients

Locations

6828 Post Rd
Unit 2E
North Kingstown, RI 02852
Phone (401) 268-3886

130 Tower Hill Rd
North Kingstown, RI 02852
Phone (401) 268-3886

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1851458665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWER HILL RD.",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-268-3886",
            "fax_number": "401-268-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TOWER HILL RD.",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-268-3886",
            "fax_number": "401-268-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINCH",
        "first_name": "KELLEY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEY",
            "last_name": "GEMMA",
            "middle_name": "E",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.