Chalmers Frazer
Individual provider Active NPI Clinical Social Worker · Ridgely, MD
NPI 1689146342 · NPPES record last updated Dec 19, 2018
Key facts
- NPI
- 1689146342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 3341 (MD)
- Practice address
- 14299 Benedictine LN
Ridgely, MD 21660-1434 - Phone
- (410) 634-2112
- Fax
- (410) 634-2640
- NPI assigned
- Dec 19, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3341 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3341 | MD | Yes |
Addresses
Primary practice location
14299 Benedictine LN
Ridgely, MD 21660-1434
Mailing address
14299 Benedictine LN
Ridgely, MD 21660-1434
Phone (410) 634-2112
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All providers in Ridgely, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.