Individual provider Active NPI

Joan C. Fraifeld, MSSW, LCSW

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1306946298
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003756 Issued in VA
Practice address
3511 W. Market S., Ste. 100
Triad Psychiatric Counseling Center
Greensboro, NC 27403-4444
Phone
(336) 632-3505
Fax
(336) 632-3503
NPI assigned
Sep 22, 2006
Last updated
Sep 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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 0904003756 VA Primary

Addresses

Primary practice location

3511 W. Market S., Ste. 100
Triad Psychiatric Counseling Center
Greensboro, NC 27403-4444

Mailing address

3511 W. Market S., Ste. 100
Triad Psychiatric Counseling Center
Greensboro, NC 27403-4444
Phone (336) 632-3505

Other identifiers 2

IdentifierTypeStateIssuer
008914486MedicaidVA
6007218MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051121000460 VA Practitioner - Clinical Social Worker 0446279301 Practice locations: Danville, VA
I20090107000265 NC Practitioner - Clinical Social Worker 0446279301 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Partners for Mental Health, PLLCGroup PAC ID 8426409863, 6 clinicians

Practice addresses (Care Compare)

2723 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8390
Phone (336) 265-1762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Partners for Mental Health, PLLC Clinical CurrentSince Jan 10, 2024 Accepting new patients
Triad Psychiatric and Counseling Center PA Clinical CurrentSince Mar 25, 2009 Accepting new patients
Greensboro Jewish Federation PastSince May 24, 2016 Accepting new patients

Locations

2723 Horse Pen Creek Rd
Ste 105
Greensboro, NC 27410
Phone (336) 265-1762

3511 W Market St
Ste 100
Greensboro, NC 27403
Phone (336) 522-8999

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

Organizations & group practices 3

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1306946298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W. MARKET S., STE. 100",
            "address_2": "TRIAD PSYCHIATRIC COUNSELING CENTER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034444",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W. MARKET S., STE. 100",
            "address_2": "TRIAD PSYCHIATRIC COUNSELING CENTER",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034444",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIFELD",
        "first_name": "JOAN",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008914486",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007218",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.