Collaborative for Behavioral Health

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW00719 Issued in RI

Legal business name

COLLABORATIVE FOR BEHAVIORAL HEALTH

Doing business as

Denise M Fragoza Licsw,LCDP,CCJP

Practice address

654 Metacom Ave
Warren, RI 02885-2300

Phone

(401) 245-5395

Fax

(401) 245-5395

NPI assigned

Jul 17, 2006

Last updated

Jul 9, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Denise Marie Fragoza, MSW,LICSW,LCDPNPI 1316964067

Title

Clincal Director

Phone

(401) 245-5395

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DENISE M FRAGOZA LICSW,LCDP,CCJP Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Marie Fragoza, MSW,LICSW,LCDP

  • Clinical Social Worker
  • Swansea, MA
  • NPI 1316964067

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1154348803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 2ND ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773203",
            "telephone_number": "508-324-5282",
            "fax_number": "401-245-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 METACOM AVE",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852300",
            "telephone_number": "401-245-5395",
            "fax_number": "401-245-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE FOR BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "FRAGOZA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINCAL DIRECTOR",
        "authorized_official_telephone_number": "401-245-5395",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW,LICSW,LCDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "CDP00146",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW00719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DF04200",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CB30596",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENISE M FRAGOZA LICSW,LCDP,CCJP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Thomas Campion III, PT
• Mark Paul Casimiro, DPT
• Casey Catlin, PHD
• Nicole Maureen Cherry, PHYSICAL THERAPIST
• Chiropractic Health Partners of America LTD.
• Kelly N Connors, PTA
• Corliss Institute, Inc.
• Christine Marie Coughlin, FNP-BC
• Crestwood Healthcare LLC
• Crestwood Nursing and Convalescent Home Inc

• Clinical Social Worker in Warren, RI
• Providers in Warren, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.