Tina Federici, LICSW

Individual provider Active NPI Clinical Social Worker · Coventry, RI

NPI 1043884877 · NPPES record last updated Dec 10, 2025

Key facts

NPI
1043884877
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
ISW03806 (RI)
Practice address
1193 Tiogue Ave Unit 1
Coventry, RI 02816-6122
Phone
(401) 203-4708
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1193 Tiogue Ave
Unit 1
Coventry, RI 02816-6122
Phone (401) 203-4708

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221107001857 RI Practitioner - Clinical Social Worker 2961879887 Practice locations: Coventry, RI

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Wellness, LLC Clinical Current
since Nov 7, 2025
Accepting new patients

Locations

1193 Tiogue Ave
Unit 1
Coventry, RI 02816
Phone (401) 203-4708

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ISW03806 RI
Clinical Social Worker 1041C0700X ISW03806 RI Yes
Social Worker 104100000X CSW02464 RI

Addresses

Primary practice location

1193 Tiogue Ave Unit 1
Coventry, RI 02816-6122

Mailing address

15 Macarthur Blvd
Coventry, RI 02816-7418
Phone (140) 199-6127

Other providers in Coventry, RI

All providers in Coventry, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.