Individual provider Active NPI

Kasie Frazer, LCSW

  • Clinical Social Worker
  • North Hollywood, CA
National Provider Identifier
1932508538
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 28641 Issued in CA
Practice address
11225 Huston St
Apt 205
North Hollywood, CA 91601-4473
Phone
(310) 420-9571
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-16708 AZ
Clinical Social Worker 1041C0700X CSW.09927649 CO
Clinical Social Worker 1041C0700X LCS 28641 CA Primary

Addresses

Primary practice location

11225 Huston St
Apt 205
North Hollywood, CA 91601-4473

Mailing address

11225 Huston St
Apt 205
North Hollywood, CA 91601-4473
Phone (310) 420-9571

Other practice location 1

20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133
Phone (844) 843-7279

Other practice location 2

720 S Colorado Blvd Ph North
Denver, CO 80246-1904
Phone (844) 843-7279

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
LCSW-16708AZMDClinical Social Worker
LCS 28641CAMDClinical Social Worker
CSW.09927649COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1932508538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11225 HUSTON ST",
            "address_2": "APT 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014473",
            "telephone_number": "310-420-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 HUSTON ST",
            "address_2": "APT 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014473",
            "telephone_number": "310-420-9571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Thomas Rd Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850123133",
            "country_code": "US",
            "telephone_number": "844-843-7279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 S Colorado Blvd Ph North",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461904",
            "country_code": "US",
            "telephone_number": "844-843-7279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "KASIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16708",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927649",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 28641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.