Active NPI
Tara Carpenter, MSW, LICSW
- Clinical Social Worker
- Cranston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW03889
- Practice address
- 1150 Reservoir Ave Ste 203
Cranston, RI 02920-6043 - Phone
- (401) 259-0430
- NPI assigned
- Aug 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW03889 | RI | Primary |
Addresses
Primary practice location
1150 Reservoir Ave Ste 203
Cranston, RI 02920-6043
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Other practice location 1
1443 Hartford Ave
Johnston, RI 02919-3224
Phone (401) 273-8100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Jhillis@ricounselingassociates.com | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1150 Reservoir Ave
Suite 203
Cranston, RI 02920-6043
Phone (401) 259-0340
593 Eddy St
Providence, RI 02903-4923
Phone (401) 273-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW03889 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Counseling Associates LLC | Social Worker | Current | Accepting new patients |
| Gateway Healthcare Inc | Current | Accepting new patients | |
| Complete Health Primary Care LLC | Social Worker | Past | Accepting new patients |
Locations
1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340
1516 Atwood Ave
Johnston, RI 02919
Phone (401) 463-8829
1443 Hartford Ave
Providence, RI 02919
Phone (401) 273-8100
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1 Virginia Ave
Ste 200
Providence, RI 02905
593 Eddy St
Providence, RI 02903
Organizations & group practices 3
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.
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Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1851901102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 RESERVOIR AVE STE 203",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029206043",
"telephone_number": "401-259-0430"
}
],
"practiceLocations": [
{
"address_1": "1443 Hartford Ave",
"address_purpose": "LOCATION",
"city": "Johnston",
"state": "RI",
"postal_code": "029193224",
"country_code": "US",
"telephone_number": "401-273-8100",
"fax_number": "401-861-8696",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARPENTER",
"first_name": "TARA",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-02",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW03889",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Jhillis@ricounselingassociates.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1150 Reservoir Ave Ste 203",
"city": "Cranston",
"state": "RI",
"country_code": "US",
"postal_code": "029206043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.