Individual provider · Type 1 NPI

Melyssa J. Frederick

Clinical Social Worker · Ballwin, MO

NPI number 1114131422 Active

Practice location

396 Benbow Ct
Ballwin, MO 63011-2541

Fax (636) 207-7869

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X005968 (MO)

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 1114131422

Melyssa J. Frederick's National Provider Identifier is 1114131422, issued on May 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ballwin, MO. The record was last updated on Jul 8, 2007.