Charles A Frazier, LCSW, MBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008187 Issued in CT

Practice address

880 Asylum Ave
Hartford, CT 06105-1902

Phone

(860) 817-8640

Fax

(860) 736-2222

NPI assigned

Jun 13, 2014

Last updated

Jun 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

Locations

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.

• Radiance Innovative Services, LLC

  • Clinical Social Worker
  • Hartford, CT
  • NPI 1942589189
  Medicare reassignment NPD Authorized official
• Women Family Health & Wellness LLC

  • Community/Behavioral Health Agency
  • North Haven, CT
  • NPI 1386314888
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1427462852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061410154",
            "telephone_number": "860-817-8640",
            "fax_number": "860-736-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ASYLUM AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051902",
            "telephone_number": "860-817-8640",
            "fax_number": "860-736-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "CHARLES",
        "middle_name": "A",
        "credential": "LCSW, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Anthony Frankovitch, DNP, APRN
• Venita Jo Frasca, RDH
• Kerri-Ann Fraterrigo, M.D.
• Brielle Lynn Fratoni-Jaskiewicz, M.S., CCC-SLP
• Julia A Frattini
• Mei Christina Fredeen, PA-C
• Natasha Nichole Frederick, M.D.
• Nicholas M Frederico, MD
• Frederique Shea, LMFT, LLC
• Patricia D Fredette, LCSW

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.