Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kendra Dimino, LICSW

Individual provider Clinical Social Worker · NPI 1124060439

Kendra Dimino, LICSW is a Clinical Social Worker in Cranston, Rhode Island. Qualified in 1991, 35 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Rhode Island.

Years since qualifying
35
Licensed in
RI
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

935 Park Ave Ste 206
Cranston, RI 02910-2748
Phone: (401) 439-0329
Fax: (401) 228-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01430 (RI)

Record details

NPI number1124060439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 12, 2006
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025
Mailing address935 Park Ave Ste 206, Cranston, RI 02910-2748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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