Individual provider Active NPI

Dorothy A Fraggetta, LICSW

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1184225567
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
126444 Issued in MA
Practice address
100 Cummings Ctr Ste 432a
Beverly, MA 01915-6122
Phone
(978) 712-8126
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 126444 MA Primary

Addresses

Primary practice location

100 Cummings Ctr Ste 432a
Beverly, MA 01915-6122

Mailing address

100 Cummings Ctr Ste 432a
Beverly, MA 01915-6122
Phone (978) 712-8126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530001473 MA Practitioner - Clinical Social Worker 1355708736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 Cummings Ctr
Suite 432a
Beverly, MA 01915-6122
Phone (978) 712-8126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D a Fraggetta LLC Clinical CurrentSince Feb 1, 2025 Accepting new patients

Locations

100 Cummings Ctr
Ste 432A
Beverly, MA 01915
Phone (978) 430-4057

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1184225567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 432A",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "978-712-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 432A",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156122",
            "telephone_number": "978-712-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGGETTA",
        "first_name": "DOROTHY",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "126444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

Verify at the official NPI Registry.