KENDRA DIMINO (LICSW) – Clinical Social Worker, NPI 1124060439
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
712 CLINICAL SOCIAL WORKER in RI
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Provider Addresses for KENDRA DIMINO (LICSW)
10, Orms Street, Downtown, Providence, Providence County, Rhode Island, 02904, United States
SUITE 110
PROVIDENCE, RI 029042228
Phone: (401) 453-0666
Fax: (401) 453-9619
Type: Mailing
Atwood Medical Center, 1524, Atwood Avenue, Johnston, Providence County, Rhode Island, 02919, United States
SUITE 213
JOHNSTON, RI 029193228
Phone: (401) 351-0400
Fax: (401) 351-0410
Type: Location
935 PARK AVE STE 206
CRANSTON, RI 029102748
Phone: (401) 439-0329
Fax: (401) 228-3030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181212000021 | I | Clinical Social Worker | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02904)
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