Individual provider Active NPI

Antonio Jose Frias, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1588328751
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113351 Issued in NY
Practice address
240 Cabrini Blvd Apt 2E
New York, NY 10033-1114
Phone
(347) 595-9844
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113351 NY Primary

Addresses

Primary practice location

240 Cabrini Blvd Apt 2E
New York, NY 10033-1114

Mailing address

240 Cabrini Blvd Apt 2E
New York, NY 10033-1114
Phone (347) 595-9844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113351NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1588328751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CABRINI BLVD APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331114",
            "telephone_number": "347-595-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CABRINI BLVD APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331114",
            "telephone_number": "347-595-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIAS",
        "first_name": "ANTONIO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.