Active NPI
John Riccitelli, MSW, LICSW
- Clinical Social Worker
- North Providence, RI
National Provider Identifier
1972021137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW03101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW03101 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Therapy and Life Coaching | Clinical | Current | 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.
-
- Clinical Social Worker
- North Providence, RI
- NPI 1649032350
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
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.