Provider Demographics
NPI:1538186242
Name:FRAZIER, BARBARA S (LCSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 NW 41ST ST
Mailing Address - Street 2:BLDG. E, SUITE 1
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7470
Mailing Address - Country:US
Mailing Address - Phone:352-374-8526
Mailing Address - Fax:352-335-5359
Practice Address - Street 1:2631 NW 41ST ST
Practice Address - Street 2:BLDG. E, SUITE 1
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7470
Practice Address - Country:US
Practice Address - Phone:352-374-8526
Practice Address - Fax:352-335-5359
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW-00016881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ2422OtherBLUE CROSS BLUE SHIELD
FLZ2422Medicare ID - Type UnspecifiedPROVIDER NUMBER