Kendra Dimino, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01430 Issued in RI

Practice address

935 Park Ave Ste 206
Cranston, RI 02910-2748

Phone

(401) 439-0329

Fax

(401) 228-3030

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kendra Corriveau Former name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ann Porto PSYD & Associates Inc

  • Psychologist
  • Johnston, RI
  • NPI 1922210731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1124060439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 PARK AVE STE 206",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102748",
            "telephone_number": "401-439-0329",
            "fax_number": "401-228-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 PARK AVE STE 206",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029102748",
            "telephone_number": "401-439-0329",
            "fax_number": "401-228-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMINO",
        "first_name": "KENDRA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "29289-6",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP PROVIDER #",
            "identifier": "412739",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "CORRIVEAU",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Madison Jae Diko, PA-C
• Elizabeth Dillon
• Jane F Dilorenzo, LCDP
• Cheryl Dilucchio, PHARMD
• Kate Dimaio, OT
• Jacquelynn M Dimuccio, PA-C
• Fotini Dionisopoulos, D.M.D
• Nicholas Dionizio, PT
• Donna Dipippo
• Directions for Life Inc

• Clinical Social Worker in Cranston, RI
• Providers in Cranston, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.