Individual provider · Type 1 NPI

Shauna Louise Cynthia Frederick, LMSW

Clinical Social Worker · New York, NY

NPI number 1699341602 Active

Practice location

1468 Madison Ave
New York, NY 10029-6508

Call (347) 216-0790 Map

Fax (212) 410-5918

Mailing address

1 Gustave L Levy Pl # 1252
New York, NY 10029-6504

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X108922 (NY)
Clinical Social Worker Primary 1041C0700X099282 (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 1699341602

Shauna Louise Cynthia Frederick, LMSW's National Provider Identifier is 1699341602, issued on Jun 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jan 9, 2025.