Active NPI
Lydia Wilcox Frazier
- Social Worker
- Iowa City, IA
National Provider Identifier
1164586855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 05464
- Practice address
- 1916 Waterfront Dr
Iowa City, IA 52240 - Phone
- (319) 337-5080
- Fax
- (866) 293-6326
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 05464 | IA | Primary |
Addresses
Primary practice location
1916 Waterfront Dr
Iowa City, IA 52240
Mailing address
5400 Kirkwood Blvd SW
Four Oaks
Cedar Rapids, IA 52404
Phone (319) 364-0259
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05464 | IA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Oaks Family and Children'S Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Residential Treatment Facility
- Cedar Rapids, IA
- NPI 1710046255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228176000000",
"number": "1164586855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 KIRKWOOD BLVD SW",
"address_2": "FOUR OAKS",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "52404",
"telephone_number": "319-364-0259",
"fax_number": "866-290-5565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 WATERFRONT DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "319-337-5080",
"fax_number": "866-293-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "LYDIA",
"middle_name": "WILCOX",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2008-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "05464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.