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KATHRYN ROUSE LICSW
NPI 1477275022
Social Worker - Clinical in South Kingstown, RI

Active since September 12, 2022PECOS Enrolled
65 VILLAGE SQUARE DR STE 302, SOUTH KINGSTOWN, RI 02879(401) 785-0040 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2026, Jun 20, 2023, Sep 12, 2022 (3 updates tracked since 2022).

About Kathryn Rouse Licsw NPPES

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

KATHRYN ROUSE LICSW (NPI 1477275022) is an individual clinical provider in South Kingstown, Rhode Island, licensed in Rhode Island (ISW04747) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newport, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477275022
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHRYN ROUSECredential: LICSW
Location Address65 VILLAGE SQUARE DR STE 302South Kingstown, RI 02879-2292
Mailing Address65 Village Square Dr Ste 302South Kingstown, RI 02879-2569 · (401) 785-0040
Phone(401) 785-0040
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 12, 2022
Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1477275022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in RI · ISW04747
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
65 VILLAGE SQUARE DR STE 302, South Kingstown, RI 02879
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Secondary Practice Location 1

Location 139 E Bowery StNewport, RI 02840-3560 · Phone (631) 678-5243

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID9436638186
PECOS Enrollment IDI20260212000967
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 Kathryn Rouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Child And Family Psychiatry, Inc.
21 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 02879 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.

LAURA DAVIDSON NP
Nurse Practitioner (Psychiatric/Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
APRILE ROSE DALEY LICSW
Social Worker (Clinical)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
DEBORAH D'AMICO BERGNER LICSW
Social Worker (Clinical)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
DANIELA MONICA ZBONA PHD
Psychologist
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
ABIGAIL OWEN POST DOCTORATE
Student in an Organized Health Care Education/Training Program
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (877) 910-1878
JODY ANN EYRE LMFT
Marriage & Family Therapist
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (401) 785-0040
RACHEL F MIKUTEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington County (310) 905-2111
MS. LAURIE JEAN HARPER PH.D, LMHC-A
Counselor (Mental Health)
65 VILLAGE SQUARE DR STE 302
SOUTH KINGSTOWN, RI 02879
Washington 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 Kathryn Rouse's NPI number?

The NPI number for Kathryn Rouse is 1477275022. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Kathryn Rouse located?

Kathryn Rouse practices at 65 Village Square Dr Ste 302, South Kingstown, RI 02879. The listed phone number is (401) 785-0040.

What is Kathryn Rouse's specialty?

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

Is Kathryn Rouse enrolled in Medicare?

Yes. Kathryn Rouse is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathryn Rouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Rouse 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 Kathryn Rouse'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 Kathryn Rouse was last updated on January 22, 2026. 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.