Individual provider Active NPI

Frandy Suzanne Raso, LCSW

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1407109648
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006178 Issued in IL
Practice address
8600 Route 91 North, Suite 240
Peoria, IL 61615-9506
Phone
(309) 683-5006
Fax
(309) 683-5095
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 149006178 IL Primary

Addresses

Primary practice location

8600 Route 91 North, Suite 240
Peoria, IL 61615-9506

Mailing address

8600 Route 91 North, Suite 240
Peoria, IL 61615-9506
Phone (309) 683-5006

Other names 1

  • Frandy Suzanne Barenfeld Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20130402000142 IL Practitioner - Clinical Social Worker 7810132461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Mental Health SCGroup PAC ID 8921074485, 8 clinicians

Practice addresses (Care Compare)

900 Main St
Suite 580
Peoria, IL 61602-1065
Phone (309) 637-4266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006178ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health, SC Clinical CurrentSince May 28, 2019 Accepting new patients

Locations

900 Main St
Ste 580
Peoria, IL 61602
Phone (309) 637-4266

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1407109648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 ROUTE 91 NORTH, SUITE 240",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159506",
            "telephone_number": "309-683-5006",
            "fax_number": "309-683-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 ROUTE 91 NORTH, SUITE 240",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159506",
            "telephone_number": "309-683-5006",
            "fax_number": "309-683-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASO",
        "first_name": "FRANDY",
        "middle_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANDY",
            "last_name": "BARENFELD",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.