Organization Active NPI

J Frost Services

  • Clinical Social Worker
  • Chicopee, MA
National Provider Identifier
1033584743
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114330 Issued in MA
Legal business name
J FROST SERVICES
Practice address
1 Springfield St
Annex a, Suite 6
Chicopee, MA 01013-2672
Phone
(413) 594-1122
Fax
(413) 594-1100
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Ms. Joanna Frost, L.I.C.S.W.
Title
Owner
Phone
(413) 594-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 114330 MA Primary

Addresses

Primary practice location

1 Springfield St
Annex a, Suite 6
Chicopee, MA 01013-2672

Mailing address

PO Box 4541
Chicopee, MA 01014
Phone (413) 594-1122

Other identifiers 1

IdentifierTypeStateIssuer
110082939BMedicaidMA

National Provider Directory

National Provider Directory

Locations

1 Springfield St
Ste 6
Chicopee, MA 01013
Phone (413) 594-1122

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1033584743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4541",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01014",
            "telephone_number": "413-594-1122",
            "fax_number": "413-594-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRINGFIELD ST",
            "address_2": "ANNEX A, SUITE 6",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010132672",
            "telephone_number": "413-594-1122",
            "fax_number": "413-594-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J FROST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-594-1122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.I.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110082939B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.