JOHN PAUL FRETHEIM (LCSW) – Marriage & Family Therapist, NPI 1629034046

JOHN PAUL FRETHEIM (LCSW) is a healthcare provider. based in Petersburg, Virginia. specializing in Marriage & Family Therapist. They hold the professional credentials LCSW. They hold a License No. 0904000312 (VA). The NPI Number for JOHN PAUL FRETHEIM (LCSW) is 1629034046

Main info

Male
52 Years Of Experience
Name
JOHN PAUL FRETHEIM (LCSW)
NPI
1629034046
Phone
(804) 861-0700
Address
510 S SYCAMORE ST
Enumeration Date
25 April 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8048610700
Graduation Year
1974 (52 years ago)
PAC ID
0648395947
Group Practice PAC ID
3476443797
Professional Enrollment ID
I20100909000889
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN PAUL FRETHEIM (LCSW)

  • 510, South Sycamore Street, Heights, Petersburg, Virginia, 23803, United States

    SUITE F

    PETERSBURG, VA 238035044

    Phone: (804) 861-0700

    Fax: (804) 863-4626

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476443797View full group profile
NameSpecialtyState
P S Y C H I A T R YVA
Nurse PractitionerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
P S Y C H I A T R YMO
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What unique ID ties claims to JOHN PAUL FRETHEIM (LCSW)?
NPI 1629034046 is assigned to JOHN PAUL FRETHEIM (LCSW) under the national enumeration system.
Is JOHN PAUL FRETHEIM (LCSW)'s NPI currently valid?
The extract we use shows JOHN PAUL FRETHEIM (LCSW) as active.
Does JOHN PAUL FRETHEIM (LCSW) list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for JOHN PAUL FRETHEIM (LCSW). Clinical services aligned with this taxonomy classification.
Where is JOHN PAUL FRETHEIM (LCSW)'s primary listing?
We display Petersburg, Virginia because that is what the record indicates for JOHN PAUL FRETHEIM (LCSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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