Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK TANNER FREDRICKSON
ActiveMARK TANNER FREDRICKSON is a Clinical Social Worker healthcare provider located in SALT LAKE CITY, Utah. NPI 1265312094 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1265312094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2025 (0.92922726847945 yrs)
- Last Updated
- Sep 3, 2025
Practice Information
- Address
-
1875 S REDWOOD RDSALT LAKE CITY, UT, 841045112Browse UT providers · Browse ZIP 84104
- Phone
- 8013552846
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| RODERICK VERNE JOHNSON | LCSW | 1780672915 |
| EDNA MERRY WILCOCK | R.N., L.C.S.W. | 1194714766 |
| MS. MABEL ANN JENTZSCH | L.C.S.W. | 1326020512 |
| MR. DAVID GARY ELDREDGE | LCSW | 1699758342 |
| MR. CORY MELVIN SHIPP | LCSW | 1609850221 |
| MRS. SANDRA KAY VARLEY | LCSW | 1083699565 |
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.