Provider Demographics
NPI:1760097174
Name:FRASER, KATHERINE L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:FRASER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BOSTON- PROVIDENCE TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:EAST WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02032
Mailing Address - Country:US
Mailing Address - Phone:508-850-3900
Mailing Address - Fax:
Practice Address - Street 1:300 BOSTON- PROVIDENCE TURNPIKE
Practice Address - Street 2:
Practice Address - City:EAST WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02032
Practice Address - Country:US
Practice Address - Phone:508-850-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical