Individual provider · Type 1 NPI

Jean M. Fredrickson, LCSW

Clinical Social Worker · Newport, OR

NPI number 1083973366 Active

Practice location

930 SW Abbey St
Newport, OR 97365-4820

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL3255 (OR)

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…

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About NPI 1083973366

Jean M. Fredrickson, LCSW's National Provider Identifier is 1083973366, issued on May 8, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport, OR. The record was last updated on May 8, 2012.