Individual provider Active NPI

Denise Marie Fragoza, MSW,LICSW,LCDP

  • Clinical Social Worker
  • Swansea, MA
National Provider Identifier
1316964067
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115541 Issued in MA
Practice address
34 2ND St
Swansea, MA 02777-3203
Phone
(401) 245-5395
Fax
(508) 678-6617
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDP00146 RI
Clinical Social Worker 1041C0700X ISW00719 RI
Clinical Social Worker 1041C0700X 115541 MA Primary

Addresses

Primary practice location

34 2ND St
Swansea, MA 02777-3203

Mailing address

34 2ND St
Swansea, MA 02777-3203
Phone (508) 324-5282

Other identifiers 1

IdentifierTypeStateIssuer
DF01667MedicaidRI

Other names 1

  • Ms. Denise Marie Fragoza Professional name

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
I20100211000524 MA Practitioner - Clinical Social Worker 2163564741 Practice locations: Swansea, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CDP00146RIMDAddiction (Substance Use Disorder) Counselor
ISW00719RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative for Behavioral Health Addiction (Substance Use Disorder) PastSince Mar 11, 2025 Accepting new patients

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1316964067",
    "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": "34 2ND ST",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027773203",
            "telephone_number": "401-245-5395",
            "fax_number": "508-678-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOZA",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MSW,LICSW,LCDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "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": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DF01667",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "FRAGOZA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MSW,LICSW,LCDP,CCJP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Swansea, MA

Sources for this page

Verify at the official NPI Registry.