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SAMANTHA ROSE KAVANAGH, LICSW
NPI 1033974399
Social Worker - Clinical in Riverside, RI

Active since February 15, 2024PECOS EnrolledAccepts Medicare Assignment
501 WAMPANOAG TRL UNIT 400, RIVERSIDE, RI 02915(401) 785-0040 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Rose Kavanagh, Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ROSE KAVANAGH, LICSW (NPI 1033974399) is an individual clinical provider in Riverside, Rhode Island, licensed in Rhode Island (ISW04045) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033974399
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSAMANTHA ROSE KAVANAGH, LICSW
Location Address501 WAMPANOAG TRL UNIT 400Riverside, RI 02915-1507
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(401) 785-0040
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 15, 2024
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1033974399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW04045
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
501 WAMPANOAG TRL UNIT 400, Riverside, RI 02915
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Rose Kavanagh, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608311451
PECOS Enrollment IDI20240716004305
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Kavanagh, Licsw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Family Psychiatry, Inc.
4.8 mi
Psychiatry
1035 POST RD
Warwick, RI 02888
  • Reassigned Medicare billing, Rhode Island enrollment
  • 158 clinicians in this Medicare group
NPI 1760863229 (401) 785-0040

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.57 – $177.03
Typical copayment $0.00 (range $14.64 – $44.25)
Most-billed visit code NA
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN MCNAUGHTAN CAWLEY LMHC-A
Counselor (Mental Health)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (401) 785-0040
KASHEIDA HECTOR LICSW
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (508) 207-8819
ANDREA MCDONALD LICSW
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (401) 785-0040
MRS. ABIGAIL ELIZABETH CELANO LICSW
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (401) 785-6210
ROBERT D. AMARAL
Nurse Practitioner (Psychiatric/Mental Health)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (401) 785-0040
MS. ERICA LYNN PERKINS LMHC
Counselor (Mental Health)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (401) 785-0040
NANISIA SANTOS OLIVEIRA MSW, LCSW
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (602) 644-1923
DENNISE DE LA ROSA LICSW
Social Worker (Clinical)
501 WAMPANOAG TRL UNIT 400
RIVERSIDE, RI 02915
Providence County (401) 785-0040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Kavanagh, Licsw's NPI number?

The NPI number for Samantha Kavanagh, Licsw is 1033974399. It was assigned to this individual provider in the NPPES registry on February 15, 2024.

Where is Samantha Kavanagh, Licsw located?

Samantha Kavanagh, Licsw practices at 501 Wampanoag Trl Unit 400, Riverside, RI 02915. The listed phone number is (401) 785-0040.

What is Samantha Kavanagh, Licsw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Samantha Kavanagh, Licsw enrolled in Medicare?

Yes. Samantha Kavanagh, Licsw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Kavanagh, Licsw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kavanagh, Licsw reassigns Medicare benefits to Child And Family Psychiatry, Inc. (Warwick, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Kavanagh, Licsw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Kavanagh, Licsw was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.