Amanda Frechette, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8693 Issued in CT

Legal business name

AMANDA FRECHETTE, LCSW LLC

Practice address

567 Vauxhall Street Ext Ste 315
Waterford, CT 06385-4341

Phone

(860) 389-1208

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Elizabeth Frechette, LCSW

Title

Clinician II

Phone

(860) 389-1208

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1023512407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TWIN LAKES DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854111",
            "telephone_number": "860-389-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 VAUXHALL STREET EXT STE 315",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854341",
            "telephone_number": "860-389-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA FRECHETTE, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "FRECHETTE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CLINICIAN II",
        "authorized_official_telephone_number": "860-389-1208",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "8693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004083309",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Waterford, CT
• Providers in Waterford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.