| Stephen Frazier, LCSW | |
|
125 N Ruby Ln, Fairview Heights, IL 62208-1926 | |
| (618) 398-4226 | |
| (618) 398-1759 |
| Full Name | Stephen Frazier |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 125 N Ruby Ln, Fairview Heights, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538476742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149014264 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | 2009028441 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promed Preferred Il 2 Pllc | 3870028251 | 13 |
| Entity Name | Preferred Behavioral Health Mso, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962014472 PECOS PAC ID: 7214349844 Enrollment ID: O20201223001492 |
| Entity Name | Promed Preferred Il 2 Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023855566 PECOS PAC ID: 3870028251 Enrollment ID: O20241121002976 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Frazier, LCSW 125 N Ruby Ln, Fairview Heights, IL 62208-1926 Ph: (618) 398-4226 | Stephen Frazier, LCSW 125 N Ruby Ln, Fairview Heights, IL 62208-1926 Ph: (618) 398-4226 |
Rachel Logan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10850 Lincoln Trail, Suite 16 #3, Fairview Heights, IL 62208 Phone: 618-310-0422 Fax: 618-226-5179 | |
Mr. Tyrone D Ford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10850 Lincoln Trl # 20-1861, Fairview Heights, IL 62208 Phone: 314-718-4503 Fax: 618-416-2708 | |
Chester A Carothers Jr., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10314 Lincoln Trl Ste 106, Fairview Heights, IL 62208 Phone: 618-875-9355 Fax: 630-425-8900 | |
Jane E. Macgreevy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 141 Market Pl, Suite 206, Fairview Heights, IL 62208 Phone: 618-398-7250 Fax: 618-398-6870 | |
Ms. Catherine Atieno Awitta, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4610a N Illinois St Unit 4, Fairview Heights, IL 62208 Phone: 618-917-3336 | |
Marian A Jackson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 125 N Ruby Ln, Fairview Heights, IL 62208 Phone: 618-398-4226 Fax: 618-398-1759 | |
Jaclyn Terbrock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Executive Dr, Fairview Heights, IL 62208 Phone: 618-688-4727 |