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

Q: 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.

Q: What is Samantha Kavanagh, Licsw's specialty?

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

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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 14

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)