Active NPI
Katrina Frydlewicz, LCSW
- Clinical Social Worker
- Lansdale, PA
National Provider Identifier
1013097807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW-015174
- Practice address
- 400 N Broad St
Lansdale, PA 19446-2414 - Phone
- (215) 368-2022
- Fax
- (215) 855-6454
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW-015174 | PA | Primary |
Addresses
Primary practice location
400 N Broad St
Lansdale, PA 19446-2414
Mailing address
400 Broad Street
Lansdale, PA 19446
Phone (215) 368-2022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW-015174 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1013097807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BROAD STREET",
"city": "LANSDALE",
"state": "PA",
"postal_code": "19446",
"telephone_number": "215-368-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N BROAD ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462414",
"telephone_number": "215-368-2022",
"fax_number": "215-855-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYDLEWICZ",
"first_name": "KATRINA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW-015174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.