TARA LACOURSIERE LICSW
NPI 1265940019
Social Worker - Clinical in Warwick, RI

Active since January 15, 2018PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010(401) 736-4546 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, May 30, 2023, Jan 15, 2018 (3 updates tracked since 2018).

About Tara Lacoursiere Licsw NPPES

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

TARA LACOURSIERE LICSW (NPI 1265940019) is an individual clinical provider in Warwick, Rhode Island, licensed in Rhode Island (ISW03290) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Kingstown, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265940019
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTARA LACOURSIERECredential: LICSW
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address610 Wampanoag TrlRiverside, RI 02915-1504 · (401) 749-7698
Fax(401) 736-4546
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 15, 2018
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1265940019 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 · ISW03290
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.
455 TOLL GATE RD, Warwick, RI 02886

Secondary Practice Location 1

Location 1604 Devils Foot Rd Apt 2North Kingstown, RI 02852-2772 · Phone (401) 749-7698

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

Tara Lacoursiere 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 ID3870986789
PECOS Enrollment IDI20220216001874
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 02886 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.

Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886

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 Tara Lacoursiere's NPI number?

The NPI number for Tara Lacoursiere is 1265940019. It was assigned to this individual provider in the NPPES registry on January 15, 2018.

Where is Tara Lacoursiere located?

Tara Lacoursiere practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 737-7010.

What is Tara Lacoursiere's specialty?

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

Is Tara Lacoursiere enrolled in Medicare?

Yes. Tara Lacoursiere 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.

When was this NPI record last updated?

The NPPES record for Tara Lacoursiere was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.