Individual provider Active NPI

Elizabeth Elgin Fraker, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1174876536
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2800 Stone School Road
Room 112
Ann Arbor, MI 48104-7434
Phone
(734) 973-9167
Fax
(734) 973-9189
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2800 Stone School Road
Room 112
Ann Arbor, MI 48104-7434

Mailing address

2800 Stone School Road
Room 112
Ann Arbor, MI 48104-7434
Phone (734) 973-9167

Other names 1

  • Elizabeth Elgin Collins - Fraker Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan 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.

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1174876536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 STONE SCHOOL ROAD",
            "address_2": "ROOM 112",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047434",
            "telephone_number": "734-973-9167",
            "fax_number": "734-973-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 STONE SCHOOL ROAD",
            "address_2": "ROOM 112",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047434",
            "telephone_number": "734-973-9167",
            "fax_number": "734-973-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAKER",
        "first_name": "ELIZABETH",
        "middle_name": "ELGIN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "COLLINS - FRAKER",
            "middle_name": "ELGIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.