Provider Demographics
NPI:1780745695
Name:FRAZZINI, JOAN CAROL (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:CAROL
Last Name:FRAZZINI
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2043 ORO CHICO HWY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938
Mailing Address - Country:US
Mailing Address - Phone:530-520-8829
Mailing Address - Fax:530-898-0788
Practice Address - Street 1:1731 I STREET
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814
Practice Address - Country:US
Practice Address - Phone:916-447-9114
Practice Address - Fax:530-898-0788
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS94151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical