Provider Demographics
NPI:1770153272
Name:FRAZIER, BRITTANY LEE (LSCSW)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:FRAZIER
Suffix:
Gender:X
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 E 23RD ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66046-5003
Mailing Address - Country:US
Mailing Address - Phone:785-393-6167
Mailing Address - Fax:
Practice Address - Street 1:1045 E 23RD ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5003
Practice Address - Country:US
Practice Address - Phone:785-393-6167
Practice Address - Fax:888-965-5680
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS06447104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker