MARY E. FRAZIER (NPI# 1740571223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740571223 |
| Entity Type | Individual |
| Full Name | MARY E. FRAZIER |
| Credential | LCSW |
| Practice Address |
569 Forest Glen Dr Fontana WI 53125-1558 |
| Practice Telephone | 2629497020 |
| Mailing Telephone | 2629497020 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149005539 | IL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7704-123 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 569 Forest Glen Dr, Fontana, WI 531251558 | 2629497020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396950150 | Mary Linda Frazier | Licensed Practical Nurse | 1972 State Route 139, Portsmouth, OH 45662-8857 | 2007-05-14 |
| 1972554640 | Mary Ellen Frazier | Psychologist | 834 Anchor Rode Dr, Naples, FL 34103-2739 | 2006-05-15 |
| 1588202360 | Mary Carol Frazier | Case Manager/Care Coordinator | 1881 Worcester Rd, Framingham, MA 01701-5410 | 2019-12-12 |
| 1255776654 | Mary M Frazier | Specialist | 64 Main St, Keene, NH 03431-3701 | 2013-04-30 |
| 1497985840 | Mary Frazier | Case Manager/Care Coordinator | 107 S High St, Antlers, OK 74523-3818 | 2009-07-20 |
| 1609068279 | Mary Ann Frazier | Pharmacist | 14525 Mack Ave, Suite A, Detroit, MI 48215-2520 | 2007-08-16 |
| 1851325187 | Mary Louise Frazier | Speech-Language Pathologist | 14820 E 4th Ave, Spokane Valley, WA 99216-2165 | 2006-07-11 |
| 1205825379 | Mary Frazier | Family Medicine | 2855 N Keystone Ave, Suite 100, Indianapolis, IN 46218-2789 | 2005-10-20 |
| Street Address |
569 FOREST GLEN DR |
| City | FONTANA |
| State | WI |
| Zip Code | 53125-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760425375 | Village of Fontana-on-geneva Lake | Ambulance | 190 Fontana Boulevard, Fontana, WI 53125-1000 | 2006-06-13 |
| 1477085819 | Joyan Sanios | Developmental Therapist | 454 N Lakeshore Dr, Fontana, WI 53125-1118 | 2017-04-03 |
| 1275150591 | Michaela Kate Mccabe | Speech-Language Pathologist | W5381 Angels Ln, Fontana, WI 53125-1197 | 2020-07-02 |
| 1639352180 | Beautiful Me | Prosthetic/Orthotic Supplier | 531 Valley View Dr, Fontana, WI 53125-1198 | 2007-12-06 |
| 1912186479 | Joint School District 8 Fontana | Local Education Agency (LEA) | 450 S Main St, Fontana, WI 53125-1232 | 2007-10-31 |
| 1962807065 | Nicholas James Wilson | Chiropractor | 450 Mill St Ste 102, Fontana, WI 53125-1242 | 2014-10-31 |
| 1811059041 | Fontana Family Dentistry | Dentist | 450 Mill St Ste 101, Fontana, WI 53125-1242 | 2006-12-14 |
| 1669531885 | Jeremy L Bria | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2006-12-06 |
| 1740675685 | Wilson Chiropractic LLC | Chiropractor | 450 Mill St, Fontana, WI 53125-1242 | 2015-03-30 |
| 1306045315 | Jlb,inc | Chiropractor | 450 Mill St, Suite 102, Fontana, WI 53125-1242 | 2007-07-11 |
| Find all providers in zip 53125 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858964 | Royals' Lcsw Therapeutic Services, Inc | Social Worker | 15533 Carrera Dr, Fontana, CA 92337-0949 | 2019-09-03 |
| 1205291697 | Jared Garcia | Social Worker | 17284 Slover Ave Ste 105, Fontana, CA 92337-7584 | 2015-12-29 |
| 1679955819 | Maria Cutler | Social Worker | 9961 Sierra Ave # Mob4, Fontana, CA 92335-6720 | 2015-06-24 |
| 1558624049 | Shawndra Oletha Williams | Social Worker | 9985 Sierra Ave # Mob4, Fontana, CA 92335-6720 | 2012-06-19 |
| 1912287996 | Jacqueline L Smith | Social Worker | 7426 Cherry Ave Ste 210-627, Fontana, CA 92336 | 2011-08-23 |
| 1609163591 | Holly Still | Social Worker | 15217 San Bernardino Avenue, Fontana, CA 92335 | 2011-06-30 |
| 1962738740 | Kim Hurley | Social Worker | 7585 Yellow Iris Ct, Fontana, CA 92336-0729 | 2009-10-28 |
| 1073630687 | Rachel Michelle Estrada | Social Worker | 7525 Wynstone Pl, Fontana, CA 92336-5487 | 2007-03-26 |
| 1033249842 | Monica Victoria Pulido | Social Worker | 8485 Tamarind Ave, Fontana, CA 92335-3975 | 2007-03-07 |
| 1407997497 | Roger Delgado | Social Worker | 14055 Bancroft Ct, Fontana, CA 92336-3510 | 2007-02-10 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.