Individual provider Active NPI

Christine Louise Frazita, L.C.S.W.

  • Clinical Social Worker
  • San Francisco, CA
National Provider Identifier
1730445941
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS12647 Issued in CA
Practice address
1947 Divisadero St
Suite 4
San Francisco, CA 94115-2532
Phone
(415) 931-5279
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS12647 CA Primary

Addresses

Primary practice location

1947 Divisadero St
Suite 4
San Francisco, CA 94115-2532

Mailing address

1947 Divisadero St
Suite 4
San Francisco, CA 94115-2532
Phone (415) 931-5279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 17, 2024 through Sep 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCS12647CAMDClinical Social Worker
12647CAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1730445941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 DIVISADERO ST",
            "address_2": "SUITE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152532",
            "telephone_number": "415-931-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 DIVISADERO ST",
            "address_2": "SUITE 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152532",
            "telephone_number": "415-931-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZITA",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS12647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.