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

Individual provider Clinical Social Worker · NPI 1033974399

Samantha Rose Kavanagh, LICSW is a Clinical Social Worker in Riverside, Rhode Island. Qualified in 2020, 6 years ago. Practices with Child and Family Psychiatry, Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2024
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Practice location Address checks out

501 Wampanoag Trl Unit 400
Riverside, RI 02915-1507
Phone: (401) 785-0040
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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 ISW04045 (RI)

Record details

NPI number1033974399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 15, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Child And Family Psychiatry, Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Riverside