MEDICARE: DR. ERIN FRASER LSCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	10376	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	100098080C	OTHER	KS	SED WAIVER

General Provider Information

NPI Number	:	1053833228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN FRASER LSCSW

Provider Business Mailing Address
First Line	:	3220 E 23RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-4201
Country	:	US
Telephone Number	:	816-842-5836
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 E 23RD ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-4201
Country	:	US
Telephone Number	:	816-842-5836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2017
Last Update Date	:	04/22/2026

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