Individual provider Active NPI

Estrellita Moronta, LCSW

  • Clinical Social Worker
  • Pawtucket, RI
National Provider Identifier
1245894328
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134
Phone
(401) 767-7156
NPI assigned
Apr 24, 2019
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

249 Roosevelt Ave Unit 205
Pawtucket, RI 02860-2134

Mailing address

16 Ricci Dr
North Providence, RI 02911-2418

Other practice location 1

16 Ricci Dr
North Providence, RI 02911-2418
Phone (401) 767-7156

Other identifiers 1

IdentifierTypeStateIssuer
CSW02338OtherRISTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191111000939 RI Practitioner - Clinical Social Worker 5193157360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince Oct 7, 2019 Accepting new patients
Thundermist Health Center CurrentSince Oct 7, 2019 Accepting new patients
Full Circle Behavioral Health Clinical CurrentSince Dec 28, 2025 Accepting new patients
Thundermist Health Center Current Accepting new patients
Gateway Healthcare Inc CurrentSince Dec 3, 2019 Accepting new patients

Locations

1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829

249 Roosevelt Ave
Ste 205
Pawtucket, RI 02860
Phone (401) 667-6518

1 Virginia Ave
Ste 200
Providence, RI 02905

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100

593 Eddy St
Providence, RI 02903

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

450 Clinton St
Woonsocket, RI 02895

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1245894328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RICCI DR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029112418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 ROOSEVELT AVE UNIT 205",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602134",
            "telephone_number": "401-767-7156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Ricci Dr",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029112418",
            "country_code": "US",
            "telephone_number": "401-767-7156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORONTA",
        "first_name": "ESTRELLITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CSW02338",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.