Provider Demographics
NPI:1174875561
Name:FRINZL, SASHA L (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:L
Last Name:FRINZL
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 1:6904 LAMARSH CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8362
Mailing Address - Country:US
Mailing Address - Phone:508-561-1643
Mailing Address - Fax:
Practice Address - Street 1:6904 LAMARSH CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8362
Practice Address - Country:US
Practice Address - Phone:508-561-1643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0092661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical