Individual provider · Type 1 NPI

John Allen Fredrickson, LCSW-R, LIMHP

Clinical Social Worker · New York, NY

NPI number 1023323557 Active

Practice location

242 W 30th St Rm 602
New York, NY 10001-4954

Call (917) 936-7509 Map

Mailing address

8330 Loveland Dr
Omaha, NE 68124-1310

Other practice locations

  • 10250 Regency Cir Ste 500, Omaha, NE 68114-5703 · (917) 936-7509

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X081845 (NY)
Clinical Social Worker 1041C0700X2430 (NE)
Clinical Social Worker Primary 1041C0700X081187 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

4 other providers at this address

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About NPI 1023323557

John Allen Fredrickson, LCSW-R, LIMHP's National Provider Identifier is 1023323557, issued on Aug 9, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Nov 2, 2020.