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

Individual provider Clinical Social Worker · NPI 1265940019

Tara Lacoursiere, LICSW is a Clinical Social Worker in Warwick, Rhode Island. Qualified in 2014, 12 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
12
Licensed in
RI
In the registry since
2018
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

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone: (401) 737-7010
Fax: (401) 736-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 604 Devils Foot Rd Apt 2, North Kingstown, RI 02852-2772 — (401) 749-7698

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW03290 (RI)

Record details

NPI number1265940019
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 15, 2018
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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