Frazier Recovery Home LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15804 Issued in MN

Legal business name

FRAZIER RECOVERY HOME LLC

Practice address

8813 Hale Ave S
Cottage Grove, MN 55106

Phone

(651) 895-4440

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Frances Rezek, LICSWNPI 1134432925

Title

Founder

Phone

(651) 895-4440

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Frances Rezek, LICSW

  • Clinical Social Worker
  • Cottage Grove, MN
  • NPI 1134432925
  NPD Authorized official

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1801313101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550160142",
            "telephone_number": "651-895-4440",
            "fax_number": "651-528-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 HALE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "55106",
            "telephone_number": "651-895-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZIER RECOVERY HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "REZEK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "651-895-4440",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ky Nouky Fang, PHARM. D.
• Heather Kay Feikema, LICSW
• Grace Jepchirchir Fidalgo, RN
• Anjanette Finnegan, PHARMD
• Laura M Follmer
• Erin Friesen
• Charles Frunwi
• Angela Gallagher, MSW, LICSW
• Robert John Garrick, RN
• Huriya L Gerba, DIRECTOR

• Clinical Social Worker in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.