Individual provider Active NPI

Lauren Wilde Acquino, LCSW, LICSW

  • Clinical Social Worker
  • Ashaway, RI
National Provider Identifier
1962186643
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW03859 Issued in RI
Practice address
8 Robin Rd
Ashaway, RI 02804-1530
Phone
(631) 356-4327
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13016 CT
Clinical Social Worker 1041C0700X ISW03859 RI Primary

Addresses

Primary practice location

8 Robin Rd
Ashaway, RI 02804-1530

Mailing address

8 Robin Rd
Ashaway, RI 02804-1530
Phone (631) 356-4327

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512000989 RI Practitioner - Clinical Social Worker 1456878651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychiatry, Inc.Group PAC ID 5294173464, 90 clinicians

Practice addresses (Care Compare)

65 Village Square Dr
Suite 302
South Kingstown, RI 02879-2569
Phone (401) 785-0040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13016CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychiatry, Inc. Clinical CurrentSince Apr 6, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

65 Village Square Dr
Ste 302
South Kingstown, RI 02879
Phone (877) 321-0922

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, 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": "1686614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1962186643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROBIN RD",
            "city": "ASHAWAY",
            "state": "RI",
            "postal_code": "028041530",
            "telephone_number": "631-356-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ROBIN RD",
            "city": "ASHAWAY",
            "state": "RI",
            "postal_code": "028041530",
            "telephone_number": "631-356-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACQUINO",
        "first_name": "LAUREN",
        "middle_name": "WILDE",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "13016",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW03859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashaway, RI

Sources for this page

Verify at the official NPI Registry.