Patrice M Fraser, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010195 Issued in IL

Practice address

320 S Locust St
Carlinville, IL 62626-1648

Phone

(217) 854-3166

Fax

(217) 854-3778

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Locust Street Resource CenterGroup PAC ID 6002846599, 5 clinicians

Practice addresses (Care Compare)

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.

• Locust Street Resource Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carlinville, IL
  • NPI 1558456210
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1659966349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20596 TIMBERED ESTATES LN",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S LOCUST ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261648",
            "telephone_number": "217-854-3166",
            "fax_number": "217-854-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "PATRICE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fenton Family Chiropractic
• Fenton Family Chiropractic PC
• Stephen Matthew Fenton, DC
• Susan Lynne Fite
• Meta Jo Floyd, BSPHARM PHARMD
• Friendship Home
• Charles J Fritz, RPH
• Thomas L Frydenger, MA, LCPC
• Michael Gleason, MD
• Heather M Goeckner

• Clinical Social Worker in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.