Tara Lacoursiere, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW03290 Issued in RI

Practice address

455 Toll Gate Rd
Warwick, RI 02886-2759

Phone

(401) 737-7010

Fax

(401) 736-4546

NPI assigned

Jan 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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.

• Affinity Physicians LLC.

  • Internal Medicine Physician
  • Warwick, RI
  • NPI 1184944662

  Social Worker

  Medicare reassignment NPD
• East Bay Community Action Program

  • Community Health Clinic/Center
  • Riverside, RI
  • NPI 1609925122
  Medicare reassignment NPD
• Affinity Physicians LLC

  • Anesthesiology Physician
  • Providence, RI
  • NPI 1053038471
  NPD
• East Bay Community Action Program

  • Community/Behavioral Health Agency
  • Riverside, RI
  • NPI 1609239920
  NPD

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1265940019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WAMPANOAG TRL",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151504",
            "telephone_number": "401-749-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010",
            "fax_number": "401-736-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Devils Foot Rd Apt 2",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028522772",
            "country_code": "US",
            "telephone_number": "401-749-7698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOURSIERE",
        "first_name": "TARA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rose Lacerda, RN
• Cheryl Lynn Lacey, LICSW
• Austin Nicholas Lachance, BA
• Samuel Lachapelle, PHARMD
• Briana M Lackman, PAC
• Lad'N Lassie Pre-School Inc.
• Brian B Lafauci, MA
• Bruce E Laferriere, D.C.
• Madeline Ann Lafleur, MSW, LICSW
• Jacqueline T Laforce, LMHC

• Clinical Social Worker in Warwick, RI
• Providers in Warwick, 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 Jun 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.