| J Frost Services | |
|
1 Springfield St Annex A, Suite 6 Chicopee MA 01013-2672 | |
| (413) 594-1122 | |
| (413) 594-1100 |
| Full Name | J Frost Services |
|---|---|
| Speciality | Social Worker |
| Location | 1 Springfield St, Chicopee, Massachusetts |
| Authorized Official Name and Position | Joanna Frost (OWNER) |
| Authorized Official Contact | 4135941122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J Frost Services Po Box 4541 Chicopee MA 01014 Ph: (413) 594-1122 | J Frost Services 1 Springfield St Annex A, Suite 6 Chicopee MA 01013-2672 Ph: (413) 594-1122 |
| NPI Number | 1033584743 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/07/2015 |
| Medicare PECOS PAC ID | 4082990932 |
|---|---|
| Medicare Enrollment ID | O20170410000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033584743 | NPI | - | NPPES |
| 110082939B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114330 (Massachusetts) | Primary |
| Provider Name | Joanna V Frost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477725059 PECOS PAC ID: 4688749344 Enrollment ID: I20080815000192 |
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