Kelsey Coletta, LICSW, LCDP is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Providence, Rhode Island. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Rhode Island Hospital and her current practice location is
200 Corliss St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 606-8530.
Kelsey Coletta is licensed to practice in Rhode Island (license number CDP00947) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689256638.
Healthcare Provider's Profile
| Full Name | Kelsey Coletta |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 200 Corliss St, Providence, Rhode Island |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelsey Coletta graduated from medical school in 2021
NPI Data:
- NPI Number: 1689256638
- Provider Enumeration Date: 04/28/2021
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850766817
- Enrollment ID: I20230405002576
Medical Identifiers
Medical identifiers for Kelsey Coletta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689256638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | ISW04065 (Rhode Island) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00947 (Rhode Island) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rhode Island Hospital | 8921900044 | 349 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Coletta allows following entities to bill medicare on her behalf.
| Entity Name | Rhode Island Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Coletta is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kelsey Coletta, LICSW, LCDP
200 Corliss St,
Providence, RI 02904-2602
Ph: () - | Kelsey Coletta, LICSW, LCDP
200 Corliss St,
Providence, RI 02904-2602
Ph: (401) 606-8530 |
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