Katherine Marie Frazer | Memphis, TN • PECOS Search

Katherine Marie Frazer

Social Worker

Behavioral Health & Social Service Providers

1769 Peabody Ave, Memphis, TN 38104-6127

PECOS Enrollment

Based on the most recent information from CMS, provider Katherine Marie Frazer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366797250
Provider Type
Individual
Full Name
Frazer, Katherine Marie
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/17/2012
Last Updated
7/17/2012

Contact Information

Practice Location

1769 Peabody Ave, Memphis, TN 38104-6127

Unlisted Fax

Mailing Location

1769 Peabody Ave, Memphis, TN 38104-6127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 5533 Tennessee