JESSICA KEOVIPHONE LCSW
NPI 1851069769
Social Worker - Clinical in West Warwick, RI

Q: What is Jessica Keoviphone's NPI number?

The NPI number for Jessica Keoviphone is 1851069769. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Q: What is Jessica Keoviphone's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 03, 2021PECOS EnrolledAccepts Medicare Assignment

186 PROVIDENCE ST, WEST WARWICK, RI 02893(401) 615-2800 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Keoviphone Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KEOVIPHONE LCSW (NPI 1851069769) is an individual clinical provider in West Warwick, Rhode Island, licensed in Rhode Island (ISW04538) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851069769

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA KEOVIPHONECredential: LCSW

Location Address186 PROVIDENCE STWest Warwick, RI 02893-2508

Mailing Address186 Providence StWest Warwick, RI 02893-2508

Phone(401) 615-2800

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 3, 2021

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1851069769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in RI · ISW04538✔ Licensed in RI · CSW02611

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.

186 PROVIDENCE ST, West Warwick, RI 02893

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Secondary Practice Locations 2

Location 11 River StWakefield, RI 02879-3214 · Phone (401) 767-4100

Location 2450 Clinton StWoonsocket, RI 02895-3207 · Phone (401) 767-4100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Keoviphone Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577960343

PECOS Enrollment IDI20210921002050

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02893 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNADETTE LIMIADI WALERYSZAK FNP-C

Nurse Practitioner (Family)