Provider Demographics
NPI:1417201666
Name:FRASER, ORSLINE RUTH (LCSW, CASAC)
Entity Type:Individual
Prefix:MRS
First Name:ORSLINE
Middle Name:RUTH
Last Name:FRASER
Suffix:
Gender:F
Credentials:LCSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 E 52ND ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-3505
Mailing Address - Country:US
Mailing Address - Phone:917-554-2523
Mailing Address - Fax:
Practice Address - Street 1:251 E 52ND ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-3505
Practice Address - Country:US
Practice Address - Phone:917-554-2523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-08
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20248101Y00000X
NY081263-1104100000X
NY808991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker