Individual provider Active NPI

Sheri A Nisely Frazier, MSW LCSW ACSW

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1548301583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34003880A Issued in IN
Practice address
300 N Michigan St Ste 320
South Bend, IN 46601-1295
Phone
(574) 287-3223
Fax
(574) 287-1667
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 34003880A IN Primary

Addresses

Primary practice location

300 N Michigan St Ste 320
South Bend, IN 46601-1295

Mailing address

2726 Horton CT
Niles, MI 49120-9350
Phone (269) 687-1731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210121001079 IN Practitioner - Clinical Social Worker 7012321789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital & Health Care Center, Inc. CurrentSince Dec 4, 2020 Accepting new patients
St. Vincent Hospital & Health Care Center, Inc. CurrentSince Dec 4, 2020 Accepting new patients

Locations

8401 Harcourt Rd
Ste 302
Indianapolis, IN 46260
Phone (317) 338-4600

Interoperability endpoints

  • Direct secure messaging: sheri.nisely.frazier.1@7598.direct.athenahealth.com

Organizations & group practices 2

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548301583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 HORTON CT",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491209350",
            "telephone_number": "269-687-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MICHIGAN ST STE 320",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011295",
            "telephone_number": "574-287-3223",
            "fax_number": "574-287-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISELY FRAZIER",
        "first_name": "SHERI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003880A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.