Christa A Dicasparro, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03028 Issued in RI

Practice address

1240 Pawtucket Ave
Rumford, RI 02916-1427

Phone

(401) 213-0784

Fax

(401) 213-0784

NPI assigned

Oct 10, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2021 through Feb 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Inner Light Counseling & Wellness, LLC

  • Clinical Social Worker
  • Slatersville, RI
  • NPI 1407441793

  Clinical

  NPD

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1205346830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 VERNDALE AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027033532",
            "telephone_number": "401-213-0784",
            "fax_number": "401-213-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 PAWTUCKET AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161427",
            "telephone_number": "401-213-0784",
            "fax_number": "401-213-0784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Newman Ave",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "RI",
            "postal_code": "029161218",
            "country_code": "US",
            "telephone_number": "401-270-7110",
            "fax_number": "401-270-7115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 N Main St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Uxbridge",
            "state": "MA",
            "postal_code": "015691871",
            "country_code": "US",
            "telephone_number": "401-270-7110",
            "fax_number": "401-270-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICASPARRO",
        "first_name": "CHRISTA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223032",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Creamer, ATC
• Troy Danis, AUD
• Kayla Lynne Daponte
• Lauren Michelle Demattia, LICSW
• Katherine Sarah Deschene
• Matthew David Dondey
• Elizabeth Antoinette Downing, LMHC
• Dr. Daniel Hochberger Inc.
• East Side Pediatrics PC
• Kerry Ann Eastado

• All providers in Rumford, RI
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.