KENDRA DIMINO (NPI# 1124060439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124060439 |
| Entity Type | Individual |
| Full Name | KENDRA DIMINO |
| Other Name | KENDRA CORRIVEAU |
| Credential | LICSW |
| Practice Address |
1524 Atwood Ave Suite 213 Johnston RI 02919-3228 |
| Mailing Address |
10 Orms St Suite 110 Providence RI 02904-2228 |
| Practice Telephone | 4013510400 |
| Practice Fax Number | 4013510410 |
| Mailing Telephone | 4014530666 |
| Mailing Fax Number | 4014539619 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01430 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP PROVIDER # | 412739 | 01 |
| RI | BLUE SHIELD PROVIDER # | 29289-6 | 01 |
| Street Address |
1524 ATWOOD AVE SUITE 213 |
| City | JOHNSTON |
| State | RI |
| Zip Code | 02919-3228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374274 | Jessica Marie Dirocco | Nurse Practitioner | 1524 Atwood Ave, Johnston, RI 02919-3228 | 2019-06-11 |
| 1750828596 | Kristen Hannigan | Physician Assistant | 1524 Atwood Ave, Suite 220, Johnston, RI 02919-3228 | 2017-01-31 |
| 1982148243 | Johnston Dental Group, LLC | Dentist | 1524 Atwood Ave, Suite 438, Johnston, RI 02919-3228 | 2016-12-06 |
| 1356792824 | Ariana Parker | Physician Assistant | 1524 Atwood Ave, Suite 321, Johnston, RI 02919 | 2016-06-27 |
| 1639535776 | David Aiello Jr. | Chiropractor | 1524 Atwood Ave, # 210a, Johnston, RI 02919-3228 | 2016-01-05 |
| 1922406875 | Angels Medical Associates LLC | Internal Medicine | 1524 Atwood Ave, Suite 327, Johnston, RI 02919-3228 | 2014-12-09 |
| 1609272376 | Toder Rheumatology & Osteoporosis Center, P.C. | Internal Medicine | 1524 Atwood Ave, Suite 333, Johnston, RI 02919-3228 | 2014-11-07 |
| 1306261706 | Erik Andrew Shumaker | Psychologist | 1524 Atwood Ave, #222, Johnston, RI 02919-3228 | 2014-02-22 |
| 1881027498 | Cheryl A Schertz | Nurse Practitioner | 1524 Atwood Ave, Suite 336, Johnston, RI 02919-3228 | 2013-08-19 |
| 1265864045 | Melany Caryn Tromba | Psychologist | 1524 Atwood Ave, Suite 222, Johnston, RI 02919-3228 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659935757 | Cheryl K. D'itri | Massage Therapist | 2051 Plainfield Pike, Johnston, RI 02919 | 2019-04-24 |
| 1013401124 | Cigna Onsite Health LLC | Clinic/Center | 735 Greenville Ave, Bldg D, Johnston, RI 02919 | 2018-06-21 |
| 1659862803 | Michaele Marie Colizza | Massage Therapist | 1524 Atwood Ave Ste 213, Johnston, RI 02919 | 2018-05-23 |
| 1609396613 | Peter Dionisopoulos | Physical Therapist | 12 Industrial Ln, Johnston, RI 02919 | 2017-06-21 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1467735720 | Robert Tortolani | Pharmacist | 1387 Plaindield St., Johnston, RI 02919 | 2011-09-23 |
| 1518288075 | Vito F. Ferri | Internal Medicine | 1539 Atwood Ave., Suite 101, Johnston, RI 02919 | 2010-06-18 |
| 1497073894 | Usv Optical Inc. | Technician/Technologist | 200 Stone Hill Drive, Johnston, RI 02919 | 2010-05-10 |
| 1922239995 | Heidi C. O'grady | Physical Therapist | 1529 Atwood Avenue, Suite 202, Johnston, TX 02919 | 2009-08-07 |
| 1184855397 | Holly Batura | Counselor | 1516 Hartford Avenue, Johnston, RI 02919 | 2009-08-05 |
| Find all providers in zip 02919 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1306382932 | Marcie E Diorio | Social Worker | 1126 Hartford Avenue Tri-county Community Action Agency, Johnston, RI 02919 | 2017-01-06 |
| 1073964607 | Clinton C. Crete | Social Worker | 108 Peck Hill Rd, Johnston, RI 02919-5603 | 2016-06-24 |
| 1265800064 | Johanna Rachael Guerdet | Social Worker | 5408 Nw 88th St Ste 130, Johnston, IA 50131-2953 | 2015-09-10 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1457661076 | Lynne M Di Padua | Social Worker | 3 Michael St, Johnston, RI 02919-6212 | 2010-10-16 |
| 1225156409 | Randi Braunstein | Social Worker | 1974 Atwood Ave, Johnston, RI 02919-3230 | 2007-03-27 |
| 1801952924 | Jeanne Bazelak | Social Worker | 1308 Atwood Ave, Johnston, RI 02919-4936 | 2007-01-01 |
| 1255495271 | Ann M. Pruefer | Social Worker | 540 Greenville Ave, Johnston, RI 02919-2217 | 2006-12-21 |
| 1770669004 | Ellen Gorden Bruce | Social Worker | 1308 Atwood Avenue, Johnston, RI 02919-4936 | 2006-10-30 |
| Find all providers in JOHNSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.