Freddie-Claires Integrated Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FREDDIE-CLAIRES INTEGRATED SERVICES LLC

Practice address

5021 Cherry St
Winston Salem, NC 27105-2115

Phone

(951) 588-9158

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Nelson Wilson

Title

Ceo/President

Phone

(951) 588-9158

Specialties & licenses 2

Addresses

Other names 1

• Freddie-Claires Integrated Services LLC Doing business as

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1932889540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 CHERRY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052115",
            "telephone_number": "951-588-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 CHERRY ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271052115",
            "telephone_number": "951-588-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDIE-CLAIRES INTEGRATED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-588-9158",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freddie-Claires Integrated Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Anna Fratto, PA
• Melissa J. Frauendorfer, NP
• Heather B Frazier, NP
• Jaque Ronyale Frazier
• Shy'Ann Frazier
• Brent Frederick, D.O.
• Barry Ira Freedman, MD
• Jack Freedman
• Freedom Diabetic Supplies, Inc.
• Ahunna Eberechi Freeman, PHARMD

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.