Individual provider Active NPI

Misty Frazier, LCSW

  • Clinical Social Worker
  • Mt Sterling, KY
National Provider Identifier
1548507056
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
223 Windsor Dr Ste 3
Mt Sterling, KY 40353-1626
Phone
(859) 404-4649
NPI assigned
Jan 4, 2013
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

223 Windsor Dr Ste 3
Mt Sterling, KY 40353-1626

Mailing address

223 Windsor Dr Ste 3
Mt Sterling, KY 40353-1626
Phone (859) 404-4649

Other practice location 1

223 Windsor Dr Ste 3
MT Sterling, KY 40353-1626
Phone (859) 404-4649

Other identifiers 2

IdentifierTypeStateIssuer
7100431650MedicaidKY
30610026MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161215001725 KY Practitioner - Clinical Social Worker 6305126095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

223 Windsor Dr
Suite 3
Mt Sterling, KY 40353-1626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5128KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways, Inc CurrentSince Jul 29, 2021 Accepting new patients
Pathways Inc Current Accepting new patients

Locations

3701 Landsdowne Dr
Ashland, KY 41102
Phone (606) 324-3005

300 Foxglove Dr
Mt Sterling, KY 40353
Phone (800) 562-8909

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1548507056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 WINDSOR DR STE 3",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531626",
            "telephone_number": "859-404-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 WINDSOR DR STE 3",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531626",
            "telephone_number": "859-404-4649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Windsor Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "KY",
            "postal_code": "403531626",
            "country_code": "US",
            "telephone_number": "859-404-4649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MISTY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100431650",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.