Individual provider Active NPI

Lori L. Fogarty, LICSW

  • Clinical Social Worker
  • Cumberland, RI
National Provider Identifier
1982769162
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW01583 Issued in RI
Practice address
17 Ashton Park Way Ste 202
Cumberland, RI 02864-4827
Phone
(401) 654-8957
Fax
(401) 563-9799
NPI assigned
Dec 27, 2006
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 ISW01583 RI Primary

Addresses

Primary practice location

17 Ashton Park Way Ste 202
Cumberland, RI 02864-4827

Mailing address

2 Dangelis Dr
North Providence, RI 02911-3510
Phone (401) 331-1350

Other identifiers 1

IdentifierTypeStateIssuer
LF43459MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20150505001170 RI Practitioner - Clinical Social Worker 2769701234 Practice locations: Cumberland, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

895 Mendon Rd
Suite C
Cumberland, RI 02864-5400
Phone (401) 654-8957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW01583RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of Rhode Island Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1982769162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DANGELIS DR",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029113510",
            "telephone_number": "401-331-1350",
            "fax_number": "401-277-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ASHTON PARK WAY STE 202",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644827",
            "telephone_number": "401-654-8957",
            "fax_number": "401-563-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "LORI",
        "middle_name": "L.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW01583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LF43459",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

Verify at the official NPI Registry.