Individual provider · Type 1 NPI

Sarah Lynne Fredericks, LCSW-R

Clinical Social Worker · Utica, NY

NPI number 1285924423 Active

Practice location

1002 Oswego St
Utica, NY 13502-5031

Mailing address

1 Kellogg Rd
New Hartford, NY 13413-2824

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X081945-1 (NY)
Clinical Social Worker Primary 1041C0700X082826 (NY)

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 1285924423

Sarah Lynne Fredericks, LCSW-R's National Provider Identifier is 1285924423, issued on Apr 8, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Utica, NY. The record was last updated on Jul 16, 2025.