| Charles A Frazier, LCSW, MBA | |
|
880 Asylum Ave, Hartford, CT 06105-1902 | |
| (860) 817-8640 | |
| (860) 736-2222 |
| Full Name | Charles A Frazier |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 880 Asylum Ave, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427462852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008187 (Connecticut) | Primary |
| Entity Name | Radiance Innovative Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942589189 PECOS PAC ID: 0244555746 Enrollment ID: O20150204000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Frazier, LCSW, MBA Po Box 154, Hartford, CT 06141-0154 Ph: (860) 817-8640 | Charles A Frazier, LCSW, MBA 880 Asylum Ave, Hartford, CT 06105-1902 Ph: (860) 817-8640 |
Mr. Glenn Gregory Gemma, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Franklin Ave, Hartford, CT 06114 Phone: 860-756-8669 | |
Laurel Barrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 331 Wethersfield Ave, Hartford, CT 06114 Phone: 860-971-4761 | |
Maryellen Thomson Sciallo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Albany Ave, Hartford, CT 06105 Phone: 860-236-4511 | |
Charlene Ann Snipes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine Street, Hartford, CT 06112 Phone: 860-297-0905 Fax: 860-297-0914 | |
Mr. David Susanin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine St, Hartford, CT 06112 Phone: 860-297-0810 Fax: 860-293-6356 | |
Ms. Rebecca Jennifer Robotham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 65 Osten Blvd, Hartford, CT 06106 Phone: 860-729-2069 | |
Mrs. Joelle L. Figueroa, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 331 Wethersfield Ave, Hartford, CT 06114 Phone: 860-236-4511 |