Individual provider · Type 1 NPI

Loretta Fredericks, LCSW

Clinical Social Worker · Fairfax, VA

NPI number 1245527944 Active

Practice location

10560 Main St, Suite 405
Fairfax, VA 22030-7182

Mailing address

203 Skyhill Rd, Apt. 5
Alexandria, VA 22314-4957

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904007688 (VA)

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 1245527944

Loretta Fredericks, LCSW's National Provider Identifier is 1245527944, issued on Jul 1, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Jul 1, 2011.