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KENDRA DIMINO LICSW
NPI 1124060439
Social Worker - Clinical in Cranston, RI

Active since June 12, 2006PECOS Enrolled
935 PARK AVE STE 206, CRANSTON, RI 02910(401) 439-0329(401) 228-3030 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendra Dimino Licsw NPPES

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

KENDRA DIMINO LICSW (NPI 1124060439) is an individual clinical provider in Cranston, Rhode Island, licensed in Rhode Island (ISW01430) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1124060439
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENDRA DIMINOCredential: LICSW
Location Address935 PARK AVE STE 206Cranston, RI 02910-2748
Mailing Address935 Park Ave Ste 206Cranston, RI 02910-2748 · (401) 439-0329 · Fax (401) 228-3030
Phone(401) 439-0329
Fax(401) 228-3030
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1124060439 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 · ISW01430
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.
935 PARK AVE STE 206, Cranston, RI 02910
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Other Names 1

Former Name (1)Kendra Corriveau Licsw

Other Identifiers 2

Other29289-6RI · Blue Shield Provider #
Other412739RI · Blue Chip Provider #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Dimino Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416291851
PECOS Enrollment IDI20181212000021
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 02910 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.

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 Kendra Dimino's NPI number?

The NPI number for Kendra Dimino is 1124060439. It was assigned to this individual provider in the NPPES registry on June 12, 2006. The provider is also known as Kendra Corriveau Licsw.

Where is Kendra Dimino located?

Kendra Dimino practices at 935 Park Ave Ste 206, Cranston, RI 02910. The listed phone number is (401) 439-0329.

What is Kendra Dimino's specialty?

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

Is Kendra Dimino enrolled in Medicare?

Yes. Kendra Dimino is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendra Dimino was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.