Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephen Frazier, LCSW

Individual provider Clinical Social Worker · NPI 1538476742

Stephen Frazier, LCSW is a Clinical Social Worker in Fairview Heights, Illinois. Qualified in 1997, 29 years ago. Practices with Promed Preferred Il 2 PLLC, a 15-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
29
Licensed in
IL, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

125 N Ruby Ln
Fairview Heights, IL 62208-1926
Phone: (618) 398-4226
Fax: (618) 398-1759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149014264 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2009028441 (MO)

Record details

NPI number1538476742
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 9, 2010
Last updated in NPPESSeptember 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Promed Preferred Il 2 Pllc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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