Active NPI
Sheri A Nisely Frazier, MSW LCSW ACSW
- Clinical Social Worker
- South Bend, IN
National Provider Identifier
1548301583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34003880A
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Hospital & Health Care Center, Inc. | Current | Accepting new patients | |
| St. Vincent Hospital & Health Care Center, Inc. | Current | Accepting new patients |
Locations
8401 Harcourt Rd
Ste 302
Indianapolis, IN 46260
Phone (317) 338-4600
Interoperability endpoints
- 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.
-
- Psychiatry Physician
- Indianapolis, IN
- NPI 1689869893
-
- Community/Retail Pharmacy
- Indianapolis, IN
- NPI 1194929646
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.