Individual provider Active NPI

Cori Logan Fraser, LSW

  • Social Worker
  • Pittsburgh, PA
National Provider Identifier
1508753369
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW135825 Issued in PA
Practice address
100 W Station Square Dr Ste 230
Pittsburgh, PA 15219-1139
Phone
(412) 532-6622
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW135825 PA
Social Worker 104100000X SW135825 PA Primary

Addresses

Primary practice location

100 W Station Square Dr Ste 230
Pittsburgh, PA 15219-1139

Mailing address

100 W Station Square Dr Ste 230
Pittsburgh, PA 15219-1139
Phone (412) 532-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW135825PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Social Emotional Change, LLC Mental Health CurrentSince Jun 29, 2025 Accepting new patients

Locations

100 W Station Square Dr
Ste 230
Pittsburgh, PA 15219
Phone (412) 532-6622

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1508753369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W STATION SQUARE DR STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152191139",
            "telephone_number": "412-532-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W STATION SQUARE DR STE 230",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152191139",
            "telephone_number": "412-532-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "CORI",
        "middle_name": "LOGAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "SW135825",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.