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FRAZIER CLETHON WILSON JR. LISW, LADAC
NPI 1972683894
Social Worker - Clinical in Albuquerque, NM

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
2418 MILES RD SE, ALBUQUERQUE, NM 87106(505) 974-7602(505) 842-1503 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frazier Clethon Wilson Jr. Lisw, Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRAZIER CLETHON WILSON JR. LISW, LADAC (NPI 1972683894) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (I-06709) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972683894
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameFRAZIER CLETHON WILSON JR.Credential: LISW, LADAC
Location Address2418 MILES RD SEAlbuquerque, NM 87106-3224
Mailing Address2418 Miles Rd SeAlbuquerque, NM 87106-3224 · (505) 974-7602 · Fax (505) 842-1503
Phone(505) 974-7602
Fax(505) 842-1503
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 16, 2006
Last NPPES UpdateDecember 7, 2009
✔ NPI 1972683894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · I-06709
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0093531 (NM)
2418 MILES RD SE, Albuquerque, NM 87106
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Other Identifiers 2

Other0093531NM · License
OtherI-06709NM · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frazier Clethon Wilson Jr. Lisw, Ladac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426104522
PECOS Enrollment IDI20090915000169
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA E. SMARRELLA LPCC
Counselor (Mental Health)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 244-0716
JULIA RODRIGUEZ LISW LICENSED INDEPE
Social Worker (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 246-2413
MISS KRISTA ELENA BARRETT LISW
Social Worker (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 888-1121
MARGARET V MOORE LISW
Social Worker (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 247-8915
MS. ETHEL ANN GOODNOW MSW
Social Worker (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 243-2923
THOMAS H BIEN LLC
Psychologist (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 242-2603
DR. EMILY DRIVER MOORE PH.D.
Psychologist (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 259-1414
COUNSELING & PSYCHOTHERAPY SERVICES, LLC
Social Worker (Clinical)
2418 MILES RD SE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 948-6602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frazier Wilson's NPI number?

The NPI number for Frazier Wilson is 1972683894. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Frazier Wilson located?

Frazier Wilson practices at 2418 Miles Rd SE, Albuquerque, NM 87106. The listed phone number is (505) 974-7602.

What is Frazier Wilson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Frazier Wilson enrolled in Medicare?

Yes. Frazier Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Frazier Wilson was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.