MICHAEL RAINONE (LICSW) – Clinical Social Worker, NPI 1164317962

MICHAEL RAINONE (LICSW) is a healthcare provider. based in Cranston, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1120390 (MA). The NPI Number for MICHAEL RAINONE (LICSW) is 1164317962

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL RAINONE (LICSW)
NPI
1164317962
Phone
(401) 808-9297
Address
106 BURDICK DR
Enumeration Date
11 June 2025
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6172697500
Graduation Year
2021 (5 years ago)
PAC ID
3476066002
Group Practice PAC ID
2062487291
Professional Enrollment ID
I20250627001387
Address ID
MA021272245SO409XXBROA300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for MICHAEL RAINONE (LICSW)

  • 106 BURDICK DR

    CRANSTON, RI 029201537

    Phone: (401) 808-9297

    Fax: (401) 808-9297

    Type: Mailing

  • 409 W BROADWAY

    SOUTH BOSTON, MA 021272245

    Phone: (617) 464-5864

    Type: Location

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: 2025-06-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250627001387IClinical Social WorkerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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 02920)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062487291View full group profile
NameSpecialtyState
Family PracticeMA
-MA
Internal MedicineMA
Nurse PractitionerMA
O P H T H A L M O L O G YMA
P S Y C H I A T R YNY
O P T O M E T R YMA
Gastroenterology, Internal MedicineMA
Nurse PractitionerMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

Where can patients find MICHAEL RAINONE (LICSW)'s NPI?
You can confirm MICHAEL RAINONE (LICSW) with NPI 1164317962; it appears in the national provider directory.
Does this profile mean MICHAEL RAINONE (LICSW) is currently active?
Yes — MICHAEL RAINONE (LICSW) appears active in the national provider directory.
What kind of provider is MICHAEL RAINONE (LICSW)?
The page reflects Clinical Social Worker for MICHAEL RAINONE (LICSW). Clinical services aligned with this taxonomy classification.
Where is MICHAEL RAINONE (LICSW)'s primary listing?
We display Cranston, Rhode Island because that is what the record indicates for MICHAEL RAINONE (LICSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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