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

Kyle Aileru, LCSW

Individual provider Clinical Social Worker · NPI 1396467643

Kyle Aileru, LCSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with The Providence Center Inc, a 43-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

530 N Main St
Providence, RI 02904-5762
Phone: (401) 276-4020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW02956 (RI)

Record details

NPI number1396467643
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 14, 2022
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address530 N Main St, Providence, RI 02904-5762

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Providence Center Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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