Active NPI
Denise Marie Fragoza, MSW,LICSW,LCDP
- Clinical Social Worker
- Swansea, MA
National Provider Identifier
1316964067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115541
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF01667 | Medicaid | RI |
Other names 1
- Ms. Denise Marie Fragoza
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100211000524 | MA | Practitioner - Clinical Social Worker | 2163564741 | Practice locations: Swansea, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDP00146 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| ISW00719 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collaborative for Behavioral Health | Addiction (Substance Use Disorder) | Past | 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.
-
dba Denise M Fragoza Licsw,LCDP,CCJP
- Clinical Social Worker
- Warren, RI
- NPI 1154348803
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.