Healthcare Provider Details

I. General information

NPI: 1386585552
Provider Name (Legal Business Name): MILKA CELESTE AQUINO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

959 MINERAL SPRING AVE STE 1
NORTH PROVIDENCE RI
02904-4934
US

IV. Provider business mailing address

946 MINERAL SPRING AVE
PAWTUCKET RI
02860-3324
US

V. Phone/Fax

Practice location:
  • Phone: 401-757-0057
  • Fax:
Mailing address:
  • Phone: 401-428-5056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW03090
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: