Alice Marie Frazier-Snook
Individual provider Active NPI Social Worker · Willard, OH
NPI 1467950667 · NPPES record last updated Jan 23, 2018
Key facts
- NPI
- 1467950667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S21589 (OH)
- Practice address
- 1100 Neal Zick Rd
Willard, OH 44890-9287 - Phone
- (419) 935-0452
- Fax
- (419) 935-0400
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S21589 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S21589 | OH | Yes |
Addresses
Primary practice location
1100 Neal Zick Rd
Willard, OH 44890-9287
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177
Other providers in Willard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.