Jennifer Frydrychowski, LCSW
Individual provider Active NPI Clinical Social Worker · Richmond, VA
NPI 1386358307 · NPPES record last updated Jan 13, 2023
Key facts
- NPI
- 1386358307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904014664 (VA)
- Practice address
- 517 W Grace St
Richmond, VA 23220-4911 - Phone
- (804) 887-1574
- NPI assigned
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Daily Planet Inc
Practice addresses (Care Compare)
2220 Stockton St
Richmond, VA 23224-3707
Phone (804) 887-1574
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230322000357 | VA | Practitioner - Clinical Social Worker | 1355715921 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904014664 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Daily Planet Inc | Current | Accepting new patients | |
| The Daily Planet Inc | Current |
Accepting new patients | |
| The Daily Planet Inc | Current |
Accepting new patients | |
| The Daily Planet Inc, | Current |
Accepting new patients |
Locations
700 Dinwiddie Ave
Richmond, VA 23224
Phone (804) 230-1217
517 W Grace St
Richmond, VA 23220
Phone (804) 783-0678
2220 Stockton St
Richmond, VA 23224
Phone (804) 887-1574
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904014664 | VA | Yes |
Addresses
Primary practice location
517 W Grace St
Richmond, VA 23220-4911
Mailing address
517 W Grace St
Richmond, VA 23220-4911
Other providers in Richmond, VA
- From Within Youth and Family Services
- Grace Fronczak
- Front Healthcare , LLC
- Frontier Family Services LLC
- Jeffrey P. Frost
- Diana Laughlin Frye
- Janice Juanita Frye
- Jessica Lynn Frye
- Xiao Fu
- Victoria Sotonye Fubara
All providers in Richmond, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.