Individual provider Active NPI

John Riccitelli, MSW, LICSW

  • Clinical Social Worker
  • North Providence, RI
National Provider Identifier
1972021137
Registry record updated Aug 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03101 Issued in RI
Practice address
1803 Smith St
North Providence, RI 02911-2326
Phone
(401) 578-8667
NPI assigned
Sep 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2021

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 ISW03101 RI Primary

Addresses

Primary practice location

1803 Smith St
North Providence, RI 02911-2326

Mailing address

26 Countryside Dr
North Providence, RI 02904-3419

Other practice location 1

607 Pleasant St
Attleboro, MA 02703-2570
Phone (508) 223-4691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW03101RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Therapy and Life Coaching Clinical CurrentSince Feb 4, 2024 Accepting new patients
SB Transitional Sub, LLC Past Accepting new patients

Locations

1803 Smith St
North Providence, RI 02911
Phone (401) 263-3054

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1972021137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COUNTRYSIDE DR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 SMITH ST",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112326",
            "telephone_number": "401-578-8667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027032570",
            "country_code": "US",
            "telephone_number": "508-223-4691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCITELLI",
        "first_name": "JOHN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.