| Mr Keith Frazier, LISW-S, LCSW | |
|
418 Center St, Wheelersburg, OH 45694-1712 | |
| (740) 776-2785 | |
| (740) 776-2793 |
| Full Name | Mr Keith Frazier |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 418 Center St, Wheelersburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588027593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 8078 - SUPV (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | 0871 (Kentucky) | Secondary |
| Entity Name | Mahajan Therapeutics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669531810 PECOS PAC ID: 8820236524 Enrollment ID: O20160809001647 |
| Entity Name | Anew Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215554779 PECOS PAC ID: 2567855349 Enrollment ID: O20220201000540 |
| Entity Name | Moving Forward Residential Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871016691 PECOS PAC ID: 0941722573 Enrollment ID: O20250324001525 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Keith Frazier, LISW-S, LCSW 1544 Winchester Ave Ste 901, Ashland, KY 41101-7932 Ph: (606) 324-0052 | Mr Keith Frazier, LISW-S, LCSW 418 Center St, Wheelersburg, OH 45694-1712 Ph: (740) 776-2785 |
Richard Dennis Nickison, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 418 Center St, Wheelersburg, OH 45694 Phone: 740-776-2785 Fax: 740-776-2793 | |
Zachary Hamilton, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11692 Gallia Pike Ste C, Wheelersburg, OH 45694 Phone: 740-529-1400 |