Individual provider Active NPI

Joanna Victoria Frost, LICSW

  • Clinical Social Worker
  • Holyoke, MA
National Provider Identifier
1477725059
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
114330 Issued in MA
Practice address
700 Main St
Suite 1
Holyoke, MA 01040-5309
Phone
(413) 534-3033
Fax
(413) 534-3066
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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 114330 MA Primary

Addresses

Primary practice location

700 Main St
Suite 1
Holyoke, MA 01040-5309

Mailing address

PO Box 4541
Chicopee, MA 01014-4541
Phone (413) 534-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080815000192 MA Practitioner - Clinical Social Worker 4688749344 Practice locations: Chicopee, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Springfield St
Chicopee, MA 01013-2672
Phone (413) 594-1122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114330MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1477725059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4541",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010144541",
            "telephone_number": "413-534-3033",
            "fax_number": "413-534-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "address_2": "SUITE 1",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405309",
            "telephone_number": "413-534-3033",
            "fax_number": "413-534-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "JOANNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "114330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.