Individual provider Active NPI

Caroline Iacono Gojcz, LICSW

  • Mental Health Counselor
  • East Providence, RI
National Provider Identifier
1881862423
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ISW01879 Issued in RI
Practice address
400 Massasoit Ave Ste 101
East Providence, RI 02914-2017
Phone
(401) 250-0079
NPI assigned
Feb 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X ISW01879 RI Primary
Clinical Social Worker 1041C0700X ISW01879 RI
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 212494 MA

Addresses

Primary practice location

400 Massasoit Ave Ste 101
East Providence, RI 02914-2017

Mailing address

400 Massasoit Ave Ste 101
East Providence, RI 02914-2017
Phone (401) 250-0079

Other names 1

  • Caroline Florence Iacono Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA, CT, VT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20200714002292 RI Practitioner - Clinical Social Worker 9234552936 Reassigns benefits to 3 organizations
Practice locations: East Providence, RI
I20251022001182 MA Practitioner - Clinical Social Worker 9234552936 Reassigns benefits to 1 organization
I20260402001630 CT Practitioner - Clinical Social Worker 9234552936 Reassigns benefits to 1 organization
I20260402001712 VT Practitioner - Clinical Social Worker 9234552936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

100 Pearl St
FL 14
Hartford, CT 06103-4500
Phone (866) 630-0966

145 Pine Haven Shores Rd
Shelburne, VT 05482-7703
Phone (866) 630-0966

90 Canal St
Suite 4
Boston, MA 02114-2022
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01879RIMDMental Health Counselor
212494MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Headway New Jersey Behavioral Health Services, P.C. Mental Health CurrentSince Nov 16, 2024 Accepting new patients
Caroline Gojcz Licsw LLC Clinical CurrentSince Nov 18, 2025 Accepting new patients
Caroline Gojcz Licsw LLC Clinical CurrentSince Jun 15, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Caroline Gojcz Licsw LLC CurrentSince Jun 15, 2025 Accepting new patients
The Inner You Clinical PastSince Jun 1, 2020 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

90 Canal St
Ste 4
Boston, MA 02114
Phone (617) 517-4889

205 Hudson St
Fl 9
New York, NY 10013
Phone (516) 274-9095

18 Maple Ave
#265
Barrington, RI 02806

400 Massasoit Ave
Ste 101
East Providence, RI 02914
Phone (401) 250-0079

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

145 Pine Haven Shores Rd
Shelburne, VT 05482
Phone (802) 316-4135

Organizations & group practices 8

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": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1881862423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE STE 101",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142017",
            "telephone_number": "401-250-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE STE 101",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142017",
            "telephone_number": "401-250-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOJCZ",
        "first_name": "CAROLINE",
        "middle_name": "IACONO",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-18",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW01879",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01879",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "212494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "IACONO",
            "middle_name": "FLORENCE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.