Samantha Rose Kavanagh, Licsw, in Riverside, RI - Medicare Social Worker Provider

Samantha Rose Kavanagh, Licsw, is a medicare enrolled "Social Worker - Clinical" provider in Riverside, Rhode Island. Her current practice location is 501 Wampanoag Trl Unit 400, Riverside, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 785-0040.

Samantha Rose Kavanagh, Licsw is licensed to practice in Rhode Island (license number ISW04045) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033974399.

Contact Information

	Samantha Rose Kavanagh, Licsw,
	501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507
	(401) 785-0040
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Samantha Rose Kavanagh, Licsw
Gender	Female
Speciality	Social Worker - Clinical
Location	501 Wampanoag Trl Unit 400, Riverside, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033974399
Provider Enumeration Date: 02/15/2024
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6608311451
Enrollment ID: I20240716004305

Medical Identifiers

Medical identifiers for Samantha Rose Kavanagh, Licsw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033974399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW04045 (Rhode Island)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Rose Kavanagh, Licsw allows following entities to bill medicare on her behalf.

Entity Name	Child And Family Psychiatry Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760863229 PECOS PAC ID: 5294173464 Enrollment ID: O20240406000126

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Rose Kavanagh, Licsw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Samantha Rose Kavanagh, Licsw, 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () -	Samantha Rose Kavanagh, Licsw, 501 Wampanoag Trl Unit 400, Riverside, RI 02915-1507 Ph: (401) 785-0040

Reviews and Comments

Social Worker in Riverside, RI

Mollie Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Mrs. Catherine Lynn Brown, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-435-7486
Lilliane Joan Murgo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Jennifer W. Jencks, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Ms. Kendra O Macamaux, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Mica Hinga, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 185-554-3546

Samantha Rose Kavanagh, Licsw, - Medicare Clinical Social Worker in Riverside, RI