Active NPI
Jessica Beth Fruchtman, MSW, LCSW, LCAS-A
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1316433923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C013335
- Practice address
- 5 Covington St Ste 8
Asheville, NC 28806-2601 - Phone
- (828) 279-1866
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-24662 | NC | |
| Clinical Social Worker | 1041C0700X | P012493 | NC | |
| Clinical Social Worker | 1041C0700X | C013335 | NC | Primary |
Addresses
Primary practice location
5 Covington St Ste 8
Asheville, NC 28806-2601
Mailing address
153 Amethyst Cir
Arden, NC 28704-1135
Phone (828) 279-1866
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 |
|---|---|---|---|
| LCAS-24662 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C013335 | NC | MD | Clinical Social Worker |
| P012493 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Responder Support Services | Addiction (Substance Use Disorder) | 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.
-
- Professional Counselor
- Asheville, NC
- NPI 1881196418
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1316433923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 AMETHYST CIR",
"city": "ARDEN",
"state": "NC",
"postal_code": "287041135",
"telephone_number": "828-279-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COVINGTON ST STE 8",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288062601",
"telephone_number": "828-279-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUCHTMAN",
"first_name": "JESSICA",
"middle_name": "BETH",
"credential": "MSW, LCSW, LCAS-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-24662",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012493",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
- Michelle Nicole Fronzaglia, MS, CFY-SLP
- Bryna N Frosaker, PHARM D
- Elizabeth Hadley Frost, PA-C
- Natalie Harrison Frost, LPC
- Susan Anne Frost, MA MA LPC
- Caroline Morgan Fryar, MD
- Karen Renee Frye, M.D.
- Kerrie Kardatzke Fuenfhausen, PH.D., LCMHC
- Mariana Fuenmayor Llanos
- Fuller Eye Care Associates, O.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.