Healthcare Provider Details

I. General information

NPI: 1669126694
Provider Name (Legal Business Name): CHRISTOPHER GEORGE FRECHETTE MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2299 SUMMER ST # 1283
STAMFORD CT
06905-4502
US

IV. Provider business mailing address

2299 SUMMER ST # 1283
STAMFORD CT
06905-4502
US

V. Phone/Fax

Practice location:
  • Phone: 508-257-1862
  • Fax:
Mailing address:
  • Phone: 508-257-1862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70018779
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW127803
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC019567
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number089.0136188TELE
License Number StateVT
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.028305
License Number StateIL
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09931994
License Number StateCO
# 7
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16310
License Number StateCT
# 8
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberTPSW4089
License Number StateFL
# 9
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06619500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: