Fragoza, Denise Marie

Fragoza, Denise Marie is an sole proprietor health care provider with primary practice located at 654 Metacom Ave , Warren RI 02885-2300. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fragoza, Denise Marie can be contacted via phone (401) 245-5395.

Contact Information

Primary practice address
654 Metacom Ave Warren RI 02885-2300
Phone: (401) 245-5395
Fax: (508) 678-6617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00146 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW00719 Rhode Island

Profile Details

NPI number 1316964067
LBN Legal business name Fragoza, Denise Marie
Credentials MSW,LICSW,LCDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 12th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316964067 NPPES
Rhode Island MEDICAID DF01667

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