MEDICARE: DR. LAKSHMI LUCIA FRIGO PH.D., M.S.W.

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	1041C0700X	Clinical Social Worker	2024022110	MO
2	1041C0700X	Clinical Social Worker	SWB-2022-1089	NM
3	1041C0700X	Clinical Social Worker	15966	MN

General Provider Information

NPI Number	:	1861115974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAKSHMI LUCIA FRIGO PH.D., M.S.W.

Provider Business Mailing Address
First Line	:	6631 ALAMO AVE APT 1W
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-3130
Country	:	US
Telephone Number	:	651-319-2742
Fax Number	:

Provider Business Practice Location Address
First Line	:	6631 ALAMO AVE APT 1W
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63105-3130
Country	:	US
Telephone Number	:	651-319-2742
Fax Number	:

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

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	04/07/2025

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