Individual provider Active NPI

Tracy Ann Dagesse, MSW, LICSW

  • Clinical Social Worker
  • Tiverton, RI
National Provider Identifier
1629383591
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02089 Issued in RI
Practice address
92 Main Rd
Tiverton, RI 02878-1126
Phone
(401) 835-1810
Fax
(401) 425-3131
NPI assigned
Aug 16, 2010
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 ISW02089 RI Primary

Addresses

Primary practice location

92 Main Rd
Tiverton, RI 02878-1126

Mailing address

92 Main Rd
Tiverton, RI 02878-1126
Phone (401) 835-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120117000683 MA Practitioner - Clinical Social Worker 2567639453 Reassigns benefits to 1 organization
Practice locations: North Dartmouth, MA
I20230905000941 RI Practitioner - Clinical Social Worker 2567639453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

92 Main Rd
Tiverton, RI 02878-1126
Phone (401) 835-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling Center, Inc Clinical CurrentSince Aug 1, 2023 Accepting new patients
Sakonnet Associates Counseling Past Accepting new patients

Locations

106 State Rd
North Dartmouth, MA 02747
Phone (508) 642-2389

92 Main Rd
Tiverton, RI 02878
Phone (401) 835-1810

Organizations & group practices 2

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": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1629383591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781126",
            "telephone_number": "401-835-1810",
            "fax_number": "401-425-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781126",
            "telephone_number": "401-835-1810",
            "fax_number": "401-425-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGESSE",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.