Individual provider · Type 1 NPI
Stacey Lynn Fredericks
Clinical Social Worker · Oak Lawn, IL
Practice location
4700 W 95th St Ste 205
Oak Lawn, IL 60453-2574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Social Worker Primary | 1041C0700X | 149.025334 (IL) |
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…
2 other providers at this address
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- Stephanie Anne Comer, LCSWClinical Social Worker Oak Lawn, IL NPI 1154886695
- Gayle Lynette Dickerson, LCSWClinical Social Worker Oak Lawn, IL NPI 1205314861
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About NPI 1023360989
Stacey Lynn Fredericks's National Provider Identifier is 1023360989, issued on Oct 2, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Oak Lawn, IL. The record was last updated on Feb 28, 2023.