Individual provider · Type 1 NPI
Shelby D. Fredericks
Clinical Social Worker · Lockport, IL
Practice location
16108 Weber Rd
Lockport, IL 60441-6542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149.022584 (IL) |
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 1477229201
Shelby D. Fredericks's National Provider Identifier is 1477229201, issued on Aug 20, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lockport, IL. The record was last updated on Aug 20, 2021.