Active NPI
Alyssa Christine Acosta, LICSW
- Clinical Social Worker
- Pawtucket, RI
National Provider Identifier
1801279591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW04254
- Practice address
- 78 Barton St
Pawtucket, RI 02860-2006 - Phone
- (413) 530-8308
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | ISW04254 | RI | Primary |
Addresses
Primary practice location
78 Barton St
Pawtucket, RI 02860-2006
Mailing address
11 Winter St
Foxboro, MA 02035-2508
Phone (413) 530-8308
Other names 1
- Alyssa Christine Labonte
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW04254 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychiatry, Inc. | Clinical | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
989 Reservoir Ave
Ste 101
Cranston, RI 02910
Phone (401) 572-3313
7 Austin Ave
Greenville, RI 02828
Phone (401) 231-9324
1035 Post Rd
Warwick, RI 02888
Phone (401) 941-2830
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": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1801279591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 WINTER ST",
"city": "FOXBORO",
"state": "MA",
"postal_code": "020352508",
"telephone_number": "413-530-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 BARTON ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028602006",
"telephone_number": "413-530-8308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "ALYSSA",
"middle_name": "CHRISTINE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW04254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "LABONTE",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.