Healthcare Provider Details

I. General information

NPI: 1437348331
Provider Name (Legal Business Name): CARRIE LEE FRAZIER LICENSED CLINICAL SO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 ATLANTIC CIRCLE SUITE #103
PITTSBURG CA
94565
US

IV. Provider business mailing address

23 ATLANTIC CIRCLE APT. #103
PITTSBURG CA
94565
US

V. Phone/Fax

Practice location:
  • Phone: 925-787-4827
  • Fax:
Mailing address:
  • Phone: 925-787-4827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS6047
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: