Individual provider Active NPI

Kellie Lynn Friga, LMSW

  • School Social Worker
  • Rochester, NY
National Provider Identifier
1700348158
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
104678-1 Issued in NY
Practice address
15 Costar St
Rochester, NY 14608-1114
Phone
(585) 277-0190
Fax
(585) 277-0108
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 104678-1 NY Primary

Addresses

Primary practice location

15 Costar St
Rochester, NY 14608-1114

Mailing address

42 Creekside Dr
Rochester, NY 14622-2302
Phone (585) 615-2597

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
104678-1NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1700348158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CREEKSIDE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222302",
            "telephone_number": "585-615-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COSTAR ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081114",
            "telephone_number": "585-277-0190",
            "fax_number": "585-277-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIGA",
        "first_name": "KELLIE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "104678-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.