LORI L. FOGARTY (LICSW) – Clinical Social Worker, NPI 1982769162

LORI L. FOGARTY (LICSW) is a healthcare provider. based in Providence, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. ISW01583 (RI). The NPI Number for LORI L. FOGARTY (LICSW) is 1982769162

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
LORI L. FOGARTY (LICSW)
NPI
1982769162
Phone
(401) 331-1350
Address
134 THURBERS AVE
Enumeration Date
27 December 2006
Last Update Date
26 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016548957
Graduation Year
2001 (25 years ago)
PAC ID
2769701234
Professional Enrollment ID
I20150505001170
Address ID
RI028645400CU895XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

712 CLINICAL SOCIAL WORKER in RI

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Provider Addresses for LORI L. FOGARTY (LICSW)

  • 134, Thurbers Avenue, Providence, Providence County, Rhode Island, 02905, United States

    PROVIDENCE, RI 029054754

    Phone: (401) 331-1350

    Fax: (401) 277-3366

    Type: Location

  • 2, Dangelis Drive, North Providence, Providence County, Rhode Island, 02911, United States

    NORTH PROVIDENCE, RI 029113510

    Phone: (401) 331-1350

    Fax: (401) 277-3366

    Type: Mailing

  • 17 ASHTON PARK WAY STE 202

    CUMBERLAND, RI 028644827

    Phone: (401) 654-8957

    Fax: (401) 563-9799

    Type: Location

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: 2015-05-05

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
I20150505001170IClinical 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 02905)

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Reviews

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Frequently asked questions

Can I cross-check LORI L. FOGARTY (LICSW) using NPI 1982769162?
NPI 1982769162 belongs to LORI L. FOGARTY (LICSW); compare other details if you need extra assurance.
Active or inactive — what applies to LORI L. FOGARTY (LICSW)?
You should see LORI L. FOGARTY (LICSW) as active in CMS-hosted NPPES data.
What kind of doctor is LORI L. FOGARTY (LICSW)?
LORI L. FOGARTY (LICSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is LORI L. FOGARTY (LICSW) located near Providence?
LORI L. FOGARTY (LICSW) currently maps to Providence, Rhode Island in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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