LAURA FIDRYCH – Clinical Social Worker, NPI 1033930219

LAURA FIDRYCH is a healthcare provider. based in Woonsocket, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold a License No. CSW02863 (RI). The NPI Number for LAURA FIDRYCH is 1033930219

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LAURA FIDRYCH
NPI
1033930219
Phone
(401) 235-7000
Address
800 CLINTON ST
Enumeration Date
21 October 2024
Last Update Date
21 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012357000
Graduation Year
2022 (4 years ago)
PAC ID
1850824970
Group Practice PAC ID
5193627982
Professional Enrollment ID
I20241029000662
Address ID
RI028953245WO800XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

712 CLINICAL SOCIAL WORKER in RI

Provider Addresses for LAURA FIDRYCH

  • 800 CLINTON ST

    WOONSOCKET, RI 028953245

    Phone: (401) 235-7000

    Fax: (401) 767-9177

    Type: Location

  • PO BOX 1700

    WOONSOCKET, RI 028950856

    Phone: (401) 235-7000

    Fax: (401) 767-9177

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241029000662IClinical Social WorkerRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02895)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193627982View full group profile
NameSpecialtyState
Clinical Social WorkerRI
Mental Health CounselorRI
Certified Clinical Nurse Specialist (Cns)RI
-RI
Nurse PractitionerRI
-RI
Clinical Social WorkerRI
Clinical Social WorkerRI
Clinical Social WorkerRI
-RI

Reviews

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Frequently asked questions

Is LAURA FIDRYCH listed with a National Provider Identifier?
Yes — LAURA FIDRYCH has NPI 1033930219 on file in the registry.
Is there an active status for LAURA FIDRYCH?
For scheduling context, LAURA FIDRYCH is shown as active in the registry.
What expertise is attributed to LAURA FIDRYCH?
LAURA FIDRYCH's specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is LAURA FIDRYCH associated with Woonsocket?
Public fields place LAURA FIDRYCH around Woonsocket, Rhode Island. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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