Frederick Willis
Peer Specialist • Bronx, NY
Professional Overview & Biography Verified Profile Summary
Frederick Willis is a registered healthcare professional specializing in Peer Specialist in Bronx, NY. Practice services are available at 3584 JEROME AVE under active NPI credentials.
Practice Location & Contact Primary Location
3584 Jerome Ave
Bronx, NY 104671006
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Bronx, NY
Practicing in Bronx, NY (1559 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-09-19NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 3584 JEROME AVE, BRONX, NY 104671006 (Tel: 7186531537)
Registered at 79 GLENRIDGE RD, GLENVILLE, NY 123024523
Recorded as FREDERICK WILLIS
Peer Specialist (License #4259 in NY)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
79 Glenridge Rd
Glenville, NY 123024523
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