Active NPI
Michelina Fraioli
- Clinical Social Worker
- Worcester, MA
National Provider Identifier
1538260351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 111960
- Practice address
- 55 Lake Avenue North
Umass Memorial Medical Center, Psychiatry
Worcester, MA 01655 - Phone
- (508) 334-3562
- Fax
- (508) 421-1000
- NPI assigned
- Sep 26, 2006
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111960 | MA | Primary |
Addresses
Primary practice location
55 Lake Avenue North
Umass Memorial Medical Center, Psychiatry
Worcester, MA 01655
Mailing address
55 Lake Avenue North
Umass Memorial Medical Center, Psychiatry
Worcester, MA 01655
Phone (508) 334-3562
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111960 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1538260351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LAKE AVENUE NORTH",
"address_2": "UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01655",
"telephone_number": "508-334-3562",
"fax_number": "508-421-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVENUE NORTH",
"address_2": "UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01655",
"telephone_number": "508-334-3562",
"fax_number": "508-421-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIOLI",
"first_name": "MICHELINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "111960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.