Individual provider Active NPI

Stephen R Ricco, LADC1, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • N Providence, RI
National Provider Identifier
1134645856
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
19440 Issued in MA
Practice address
1405 Douglas Ave Ste 1
N Providence, RI 02904-4052
Phone
(401) 601-5476
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 19440 MA Primary
Clinical Social Worker 1041C0700X CSW04273 RI

Addresses

Primary practice location

1405 Douglas Ave Ste 1
N Providence, RI 02904-4052

Mailing address

1405 Douglas Ave Ste 1
N Providence, RI 02904-4052
Phone (401) 601-5476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salt of the Earth LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1405 Douglas Ave
Ste 1
North Providence, RI 02904

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1134645856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 DOUGLAS AVE STE 1",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029044052",
            "telephone_number": "401-601-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 DOUGLAS AVE STE 1",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029044052",
            "telephone_number": "401-601-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCO",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "LADC1, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "19440",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW04273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.