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Active NPI 1043419617 Individual Practitioner Female Practitioner

Kimberly M Smith , LICSW

Social Worker - Clinical • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Smith, LICSW is a certified Social Worker - Clinical practicing in Warwick, RI. With approximately 28 years of clinical experience since completing medical education in 1998, Kimberly Smith delivers high-quality medical care to the local community at 215 TOLL GATE RD STE 104.

Kimberly Smith is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation, psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 Toll Gate Rd Ste 104

Warwick, RI 028864463

Telephone 4019217290
Fax 4019216194
Associated Practice Facility / Clinic
🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Warwick, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +8.8 yrs vs City Avg
City Avg: 19.2 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
260 Specialists

Practicing in Warwick, RI (2501 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (28 Years) 28 Yrs
Warwick Specialty Average (19.2 Years) 19.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90791 Psychiatric diagnostic evaluation
12 12 $413.00 $113.85

Medical Specialties & State Licenses

CMS Verified: 2024-08-30
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License RI ISW01888

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License MA 110679

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
KS78986 (RI)

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4017377000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Michelle Fox , NP

Nurse Practitioner - Gerontology

NPI 1003243148

Nurse Practitioner

Dr. David Coia , DO

Family Medicine

NPI 1629181268

Doctor of Osteopathic Medicine (D.O.)

Diane Depasquale , FNP-C

Nurse Practitioner - Family

NPI 1710264015

Family Nurse Practitioner (Certified)

Jennifer Soto , AGPCNP - APRN

Nurse Practitioner - Gerontology

NPI 1760115620

AGPCNPAPRN

Dr. Pierre Caron , MD

Family Medicine

NPI 1871588947

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2024

Social Worker (License #ISW01888 in RI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2022

Social Worker (License #110679 in MA)

📍
Updated Practice Location April 07, 2021

Registered at 215 TOLL GATE RD STE 104, WARWICK, RI 028864463 (Tel: 4019217290)

📍
Updated Business Mailing Address April 07, 2021

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4012730641)

NPI Profile Active June 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2011

Registered at 55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 029062001 (Tel: 4013311350)

📍
Updated Business Mailing Address June 13, 2011

Registered at PO BOX 6688, C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 029406688 (Tel: 4013311350)

👤
Provider Name / Credentials Updated June 13, 2011

Recorded as KIMBERLY SMITH, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2011

Social Worker (License #ISW01888 in RI)

🟢
Initial NPI Registration & Enumeration July 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043419617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2007
Last Update: August 30, 2024
Sole Proprietor: No

Mailing Address

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4012730641

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.