Individual provider Active NPI

Maria Altagracia Terrero-Kamara, MSW, LICSW

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1568055069
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03225 Issued in RI
Practice address
1 Richmond SQ Ste 350W
Providence, RI 02906-5165
Phone
(401) 376-8915
Fax
(401) 340-1633
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 ISW03225 RI Primary

Addresses

Primary practice location

1 Richmond SQ Ste 350W
Providence, RI 02906-5165

Mailing address

1 Richmond SQ Ste 350W
Providence, RI 02906-5165
Phone (401) 376-8915

Other names 1

  • Maria Basaro Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW03225RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Green Leaf Counseling, LLC Clinical Current Accepting new patients

Locations

1 Richmond Sq
Ste 350W
Providence, RI 02906
Phone (401) 227-0372

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1568055069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-376-8915",
            "fax_number": "401-340-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ STE 350W",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065165",
            "telephone_number": "401-376-8915",
            "fax_number": "401-340-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRERO-KAMARA",
        "first_name": "MARIA",
        "middle_name": "ALTAGRACIA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BASARO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.