Individual provider Active NPI

Joseph H Frazier, LCSW

  • Clinical Social Worker
  • Rensselaer, NY
National Provider Identifier
1578229514
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095739-01 Issued in NY
Practice address
1641 3Rd St FL 2
Rensselaer, NY 12144-1539
Phone
(518) 469-8869
Fax
(518) 463-8733
NPI assigned
Nov 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107714 NY
Clinical Social Worker 1041C0700X 095739-01 NY Primary

Addresses

Primary practice location

1641 3Rd St FL 2
Rensselaer, NY 12144-1539

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

2215 Burdett Avenue
Samaritan Campus Behavioral Health
Troy, NY 12180-2466
Phone (518) 271-3554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230911002640 NY Practitioner - Clinical Social Worker 4284098153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107714NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rensselaer County Bureau of Finance CurrentSince Aug 17, 2023 Accepting new patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients

Locations

1641 3rd St
Fl 2
Rensselaer, NY 12144
Phone (518) 463-8869

1600 7th Ave
Ste 3
Troy, NY 12180
Phone (518) 270-2646

1600 7th Ave
Troy, NY 12180
Phone (518) 270-2800

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1578229514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 3RD ST FL 2",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441539",
            "telephone_number": "518-469-8869",
            "fax_number": "518-463-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Burdett Avenue",
            "address_2": "Samaritan Campus Behavioral Health",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "JOSEPH",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095739-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.