Individual provider Active NPI

Orsline Ruth Fraser, LCSW, CASAC

  • Clinical Social Worker
  • Nesconset, NY
National Provider Identifier
1417201666
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
80899-R Issued in NY
Practice address
279 Smithtown Blvd
St 3 Unit 980
Nesconset, NY 11767-2081
Phone
(917) 554-2523
Fax
(323) 544-2527
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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 80899-R NY Primary

Addresses

Primary practice location

279 Smithtown Blvd
St 3 Unit 980
Nesconset, NY 11767-2081

Mailing address

251 E 52ND St
3Rd Floor
Brooklyn, NY 11203-3505
Phone (917) 554-2523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150605002032 NY Practitioner - Clinical Social Worker 3971824640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29 Pineville Rd
Central Islip, NY 11722-2310
Phone (917) 554-2523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20248NYMDCounselor
081263-1NYMDSocial Worker
80899NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ttrof LLC Clinical CurrentSince Mar 18, 2026 Accepting new patients
Canino LCSW Psychotherapy PC CurrentSince Jul 1, 2024 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

68 Jay St
Ste 620
Brooklyn, NY 11201
Phone (646) 362-9382

68 Jay St
Ste 311
Brooklyn, NY 11201
Phone (347) 560-8591

1082 Victory Blvd
Staten Island, NY 10301
Phone (718) 815-3500

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1417201666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E 52ND ST",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112033505",
            "telephone_number": "917-554-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 SMITHTOWN BLVD",
            "address_2": "ST 3 UNIT 980",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672081",
            "telephone_number": "917-554-2523",
            "fax_number": "323-544-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "ORSLINE",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "80899-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

Verify at the official NPI Registry.