KRISTEN CAMPANELLI


Address: 830 Chalkstone Ave, Providence, RI 02908-4734
Phone: 4012737100

KRISTEN CAMPANELLI (NPI# 1205308681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205308681
Entity Type Individual
Full Name KRISTEN CAMPANELLI
Credential LCSW
Practice Address 830 Chalkstone Ave
Providence
RI 02908-4734
Mailing Address 103 Fulton St Unit 6
Woonsocket
RI 02895-1496
Practice Telephone 4012737100
Mailing Telephone 4013323696
Enumeration Date 2018-12-21
Last Update Date 2018-12-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CSW01956 RI Behavioral Health & Social Service Providers

Office Location

Street Address 830 CHALKSTONE AVE
City PROVIDENCE
State RI
Zip Code 02908-4734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174510853 Frances Ann Bettencourt Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2005-09-29
1881295277 Johnna Bussiere Nurse's Aide 830 Chalkstone Ave, Providence, RI 02908-4734 2020-11-03
1770196578 Caroline Sophie Holman Psychologist 830 Chalkstone Ave, Providence, RI 02908-4734 2020-08-31
1104437458 Vivian Vang Registered Nurse 830 Chalkstone Ave, Providence, RI 02908-4734 2020-08-11
1841800604 Wilcania Baez Social Worker 830 Chalkstone Ave, Providence, RI 02908-4734 2020-08-06
1609484757 Stephen Soonbeom Kwon Student in an Organized Health Care Education/Training Program 830 Chalkstone Ave, Providence, RI 02908-4734 2020-07-15
1972111029 Keenan Sandouk Student in an Organized Health Care Education/Training Program 830 Chalkstone Ave, Providence, RI 02908-4734 2020-07-15
1952919011 Yumna Arif Student in an Organized Health Care Education/Training Program 830 Chalkstone Ave, Providence, RI 02908-4734 2020-07-15
1760009518 Hassan Saada Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2020-06-28
1952927675 Susannah Kondrath Psychologist 830 Chalkstone Ave, Providence, RI 02908-4734 2020-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548771900 Horizon Wellness Clinic/Center 1339 Smith St, North Providence, RI 02908 2017-10-12
1477098069 Beth Perry Nurse Practitioner 830 Chalstone Ave., Providence, RI 02908 2017-01-05
1659788735 Brandi Kimble Podiatrist 825 Chalkstone Avenue, Providence, RI 02908 2014-07-21
1912253675 Roger Williams Medical Center Long Term Care Hospital 25 Chalkstone Ave, Providence, RI 02908 2012-07-31
1669768818 Elisa Semedo Physical Therapist 285 Promenade Street, Providence, RI 02908 2011-06-27
1255655502 Caregiver Homes of Rhode Island Inc. Custodial Care Facility 235 Promenade Street, Providence, RI 02908 2010-03-16
1487884987 Professional Ambulance LLC Ambulance 52 River Ave, Providence, RI 02908 2009-07-17
1609065804 Stephen W Davis Family Medicine 299 Promenade Street, Nhpri, Providence, RI 02908 2007-10-24
1205053899 John R Ricci Dentist 1252 Smith St, Providence, RI 02908 2007-04-18
1871718718 Brett C Auclaire Nurse Practitioner 40 Candace Street, Providence, RI 02908 2007-04-16
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396351714 Live You Well LLC Social Worker 1 Richmond Sq Ste 132c, Providence, RI 02906-5140 2020-09-21
1093328262 Esther Robbins Social Worker 290 West Exchange St., Suite 100, Providence, RI 02903 2020-08-27
1295362671 Elliot Ruggles Social Worker 101 Tobey St, Providence, RI 02909-1830 2020-03-25
1497380190 Rebecca Anne King Social Worker 225 Stonehenge Cir, Providence, UT 84332-9200 2020-03-03
1740820919 Georgina Dauda Social Worker 42 Rutherglen Ave, Providence, RI 02907-3523 2020-01-15
1982255972 Nicole A Faison Social Worker 1 Richmond Sq Ste 305w, Providence, RI 02906-5141 2019-09-22
1336795053 Caitlin Beatrice Frumerie Social Worker 130 Vinton St Fl 2, Providence, RI 02909-1134 2019-08-19
1447802707 Natalie Monaghan, LLC Social Worker 545 South Water Street, Providence, RI 02903 2019-07-16
1760940449 Julie Anna-marie Panton Social Worker 205 Waterman St Ste 205, Providence, RI 02906-4313 2019-03-12
1962976571 Nike A. Kendall Social Worker Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 2019-01-16
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Competitor

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City PROVIDENCE
Zip Code 02908

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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