Keith Frazier, LISW-S, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I 8078 - SUPV Issued in OH

Practice address

418 Center St
Wheelersburg, OH 45694-1712

Phone

(740) 776-2785

Fax

(740) 776-2793

NPI assigned

Mar 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anew Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, OH
  • NPI 1215554779

  Clinical

  Medicare reassignment NPD
• Mahajan Therapeutics, LLC

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1669531810
  Medicare reassignment NPD
• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • MC Dermott, OH
  • NPI 1871016691
  Medicare reassignment NPD
• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • MC Dermott, OH
  • NPI 1811767684
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1588027593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 WINCHESTER AVE STE 901",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017932",
            "telephone_number": "606-324-0052",
            "fax_number": "606-324-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CENTER ST",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941712",
            "telephone_number": "740-776-2785",
            "fax_number": "740-776-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "LISW-S, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 8078 - SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "0871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney A Flora
• Katlyn L Fortune
• Darla Fraley
• Brandee Franklin
• Michael Fraulini, LICDC-CS
• Britnie Leigh Gay
• Melton M Gay
• Kyle M. Gibson, PA-C
• Brennon E Giles, NURSE PRACTIONER
• Amanda L Gillenwater, APRN-CNP

• Clinical Social Worker in Wheelersburg, OH
• Providers in Wheelersburg, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.

Verify at the official NPI Registry.