Individual provider · Type 1 NPI

Mick Fredrickson, LCSW

Clinical Social Worker · Albany, OR

NPI number 1104180520 Active

Practice location

425 2nd Ave SW Ste 102
Albany, OR 97321-2483

Call (541) 286-3209 Map

Fax (541) 704-0040

Other practice locations

  • 425 2nd Ave SW Ste 101D, Albany, OR 97321-2483 · (541) 220-8223

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL6743 (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 1104180520

Mick Fredrickson, LCSW's National Provider Identifier is 1104180520, issued on Jun 29, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, OR. The record was last updated on Apr 14, 2021.