Individual provider Active NPI

Laura Maria Frattolillo, MSSA, LSW

  • Social Worker
  • Erie, PA
National Provider Identifier
1114217007
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW123777 Issued in PA
Practice address
2170 W 32ND St
Erie, PA 16508-1952
Phone
(814) 835-1700
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW123777 PA Primary

Addresses

Primary practice location

2170 W 32ND St
Erie, PA 16508-1952

Mailing address

4343 Alison Ave
Erie, PA 16506-6165
Phone (814) 323-1185

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW123777PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1114217007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 ALISON AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165066165",
            "telephone_number": "814-323-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W 32ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081952",
            "telephone_number": "814-835-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATTOLILLO",
        "first_name": "LAURA",
        "middle_name": "MARIA",
        "credential": "MSSA, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW123777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.