# COLLABORATIVE FOR BEHAVIORAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DENISE M FRAGOZA LICSW,LCDP,CCJP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154348803
- **Authorized official:** MS. DENISE MARIE FRAGOZA MSW,LICSW,LCDP (CLINCAL DIRECTOR)
- **Authorized official phone:** (401) 245-5395

## Contact information

- **Practice address:** 654 METACOM AVE, WARREN, RI 02885-2300
- **Practice address phone:** (401) 245-5395
- **Practice address fax:** (401) 245-5395
- **Mailing address:** 34 2ND ST, SWANSEA, MA 02777-3203
- **Mailing address phone:** (508) 324-5282
- **Mailing address fax:** (401) 245-5395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CDP00146 | RI | — |
| 1041C0700X | Clinical Social Worker | ISW00719 | RI | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 07/09/2008