Individual provider · Type 1 NPI

Jesse Frederiksen

Clinical Social Worker · Washington, DC

NPI number 1134495377 Active

Practice location

1012 14th St NW, Suite 1000
Washington, DC 20005-3406

Mailing address

2223 Bedford Dr
Andrews Air Force Base, MD 20762-5410

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC50079417 (DC)

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 1134495377

Jesse Frederiksen's National Provider Identifier is 1134495377, issued on Mar 31, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, DC. The record was last updated on Mar 31, 2012.