Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICK FREDRICKSON, LCSW
Active Sole ProprietorMICK FREDRICKSON, LCSW is a Clinical Social Worker healthcare provider located in ALBANY, Oregon. NPI 1104180520 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ALBANY, OR
Registration Details
- NPI Number
- 1104180520
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2012 (14.083097651631 yrs)
- Last Updated
- Apr 14, 2021
- License
-
L6743 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 2ND AVE SW STE 102ALBANY, OR, 973212483Browse OR providers · Browse ZIP 97321
- Phone
- 5412863209
- Fax
- 5417040040
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ALBANY, OR
| Name | Credential | NPI |
|---|---|---|
| TERESA ANN GRAHAM | LCSW | 1215922026 |
| MS. TRACEY LEE ISERHOTT | LCSW | 1659369239 |
| MS. MARION ELIZABETH GREGOR | MSW, LCSW | 1992720007 |
| LERESA ANN JONES | LCSW | 1346332822 |
| LEONARD K JONES | MSW | 1720171655 |
| PATRICIA SHIRLEY | LCSW | 1528151446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.