Provider Demographics
NPI:1982590139
Name:FRAZIER, MAE HELEN (ED D, LMSW, ASW-G)
Entity type:Individual
Prefix:DR
First Name:MAE
Middle Name:HELEN
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:ED D, LMSW, ASW-G
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29449-0103
Mailing Address - Country:US
Mailing Address - Phone:843-532-2111
Mailing Address - Fax:843-564-1297
Practice Address - Street 1:PO BOX 103
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:SC
Practice Address - Zip Code:29449-0103
Practice Address - Country:US
Practice Address - Phone:843-532-2111
Practice Address - Fax:843-564-1297
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4849251B00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty