Individual provider Active NPI

Rachel Fryman

  • Social Worker
  • New York, NY
National Provider Identifier
1457657900
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6700509 Issued in NY
Practice address
736 W 187TH St
#302
New York, NY 10033-1209
Phone
(646) 410-0274
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6700509 NY Primary

Addresses

Primary practice location

736 W 187TH St
#302
New York, NY 10033-1209

Mailing address

736 W 187TH St
#302
New York, NY 10033-1209

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
I20240124001867 NY Practitioner - Clinical Social Worker 1850744061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6700509NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chestnut Street Psychotherapy LCSW, PLLC Social Worker CurrentSince Oct 4, 2023 Accepting new patients

Locations

10 E Merrick Rd
Ste 304
Valley Stream, NY 11580
Phone (516) 652-8705

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1457657900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W 187TH ST",
            "address_2": "#302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W 187TH ST",
            "address_2": "#302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331209",
            "telephone_number": "646-410-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYMAN",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "6700509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.