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ANNIE AVILA LICSW
NPI 1104760479
Social Worker - Clinical in Providence, RI

Active since April 16, 2026PECOS EnrolledAccepts Medicare Assignment
40 CANDACE ST, PROVIDENCE, RI 02908(401) 444-0550(401) 444-0425 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Annie Avila Licsw NPPES

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

ANNIE AVILA LICSW (NPI 1104760479) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW04809) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104760479
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNIE AVILACredential: LICSW
Location Address40 CANDACE STProvidence, RI 02908-3747
Mailing Address375 Allens AveProvidence, RI 02905-5010 · (401) 444-0400
Phone(401) 444-0550
Fax(401) 444-0425
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1104760479 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 · ISW04809
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.
40 CANDACE ST, Providence, RI 02908
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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

Annie Avila 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 ID5698244069
PECOS Enrollment IDI20260514002614
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 Annie Avila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Providence Community Health Centers, Inc
2.5 mi
Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
NPI 1053313593 (401) 444-0400

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 02908 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 20

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

BRYAN J. RODARTE NP
Nurse Practitioner (Family)
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
JUDITH L MORRIS RN
Registered Nurse
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
DR. MARIA CRISTINA CHAN-MELLANA MD
Internal Medicine
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
KATE W. ROBINSON LICSW
Social Worker (Clinical)
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
DR. NEILAKASH BEHARRY MD
Internal Medicine
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
JENNY R DAVID DO
Obstetrics & Gynecology
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
MRS. GWYNETH GRANTON MD
Internal Medicine
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550
ALTUG KOYMEN MD
Obstetrics & Gynecology
40 CANDACE ST
PROVIDENCE, RI 02908
Providence County (401) 444-0550

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 Annie Avila's NPI number?

The NPI number for Annie Avila is 1104760479. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Annie Avila located?

Annie Avila practices at 40 Candace St, Providence, RI 02908. The listed phone number is (401) 444-0550.

What is Annie Avila's specialty?

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

Is Annie Avila enrolled in Medicare?

Yes. Annie Avila 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 Annie Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annie Avila reassigns Medicare benefits to The Providence Community Health Centers, Inc (Providence, 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 Annie Avila'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 Annie Avila was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.