Individual provider Active NPI

Michelle Frazier, LCSWC

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1285258939
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24522 Issued in MD
Practice address
508 Kennedy St NW Unit 2
Washington, DC 20011-3137
Phone
(202) 223-9630
Fax
(202) 223-9632
NPI assigned
May 28, 2020
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC303431 DC
Clinical Social Worker 1041C0700X 24522 MD Primary

Addresses

Primary practice location

508 Kennedy St NW Unit 2
Washington, DC 20011-3137

Mailing address

8876 Osterly CT
White Plains, MD 20695-4425
Phone (301) 710-4219

Other practice location 1

8876 Osterly Ct
White Plains, MD 20695-4425
Phone (301) 710-4219

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mkfrazier73@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121002745 DC Practitioner - Clinical Social Worker 9032523634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Changing Lives Adult and Youth ServicesGroup PAC ID 5395082812, 8 clinicians

Practice addresses (Care Compare)

4810 Saint Barnabas Rd
Suite 203
Temple Hills, MD 20748-4604
Phone (301) 541-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC303431DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Lives Adult & Youth Services CurrentSince Oct 15, 2020 Accepting new patients

Locations

4810 Saint Barnabas Rd
Ste 203
Temple Hills, MD 20748
Phone (301) 541-0963

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1285258939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8876 OSTERLY CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206954425",
            "telephone_number": "301-710-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 KENNEDY ST NW UNIT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113137",
            "telephone_number": "202-223-9630",
            "fax_number": "202-223-9632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8876 Osterly Ct",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206954425",
            "country_code": "US",
            "telephone_number": "301-710-4219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MICHELLE",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC303431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "24522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mkfrazier73@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8876 Osterly Ct",
            "city": "White Plains",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206954425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.