Nicole Mollica Fuoco, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW01450 Issued in RI

Practice address

31 Devereux St
204
Providence, RI 02909-5551

Phone

(401) 437-7669

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Nicole Mollica Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413072000000",
    "number": "1679840201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DEVEREUX ST",
            "address_2": "204",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095556",
            "telephone_number": "401-437-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 DEVEREUX ST",
            "address_2": "204",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029095551",
            "telephone_number": "401-437-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUOCO",
        "first_name": "NICOLE",
        "middle_name": "MOLLICA",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2014-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MOLLICA",
            "prefix": "MISS",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah L Fuller, DMD
• Colleen D. Fullerton, NP
• Karen Fullerton, APRN, BC
• Melissa A Fullerton, OTR
• Shannon Fultz, NP
• Kenneth A Furcolo, PA-C
• Michael C Furia, DMD
• Karen Lisa Furie, MD
• Grace Elizabeth Furlong
• Martin Julian Furman, MD

• Clinical Social Worker in Providence, RI
• Providers in Providence, 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 Oct 12, 2014; 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.