Provider Demographics
NPI:1053937862
Name:FRASIER, KATHERINE RACHAEL (LMSW)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RACHAEL
Last Name:FRASIER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:RACHAEL
Other - Last Name:MURTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:4060 SPRINGER WAY APT 717
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-8333
Mailing Address - Country:US
Mailing Address - Phone:517-488-8676
Mailing Address - Fax:
Practice Address - Street 1:702 W LAKE LANSING RD
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8526
Practice Address - Country:US
Practice Address - Phone:517-332-5342
Practice Address - Fax:517-316-2893
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011150231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical