Individual provider · Type 1 NPI
Gary J. Fredericksen, LICSW
Clinical Social Worker · Lacey, WA
Practice location
4422 6th Ave SE
Lacey, WA 98503-1020
Fax (360) 412-4982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LW00004165 (WA) |
| Clinical Social Worker Primary | 1041C0700X | LW00004165 (WA) |
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…
7 other providers at this address
- Kirks Drug IncClinic Pharmacy Lacey, WA NPI 1598903940
- Christopher Charles Staeheli, M.D.J.D.Psychiatry Physician Lacey, WA NPI 1629078373
- Claudia DavidMental Health Counselor Lacey, WA NPI 1174681597
- Dwight Frances Bushue, ARNPPsychiatric/Mental Health Registered Nurse Lacey, WA NPI 1780766055
- Marne Helen Nelson, ARNPPsychiatric/Mental Health Registered Nurse Lacey, WA NPI 1457432932
- Robert Brian Noonan, ARNPPsychiatric/Mental Health Registered Nurse Lacey, WA NPI 1275715120
- Victoria Lynn Davis, LCSWMental Health Counselor Lacey, WA NPI 1851463095
Other clinical social worker providers in Lacey
- Brenda L. Kittrell, LMSW, ACSW, MACClinical Social Worker Lacey, WA NPI 1033187521
- Jaylin Lucas, LICSWClinical Social Worker Lacey, WA NPI 1033935820
- Mollie A. RundstromClinical Social Worker Lacey, WA NPI 1053293357
- Stephanie Sutphin Jankowski, LICSWClinical Social Worker Lacey, WA NPI 1063224525
- Kristina Noel Callender, LICSWClinical Social Worker Lacey, WA NPI 1083910590
- Kylie Medina-Lofink, MSW, SWAICClinical Social Worker Lacey, WA NPI 1114856127
- Christine McMahon, LCSW; LICSWClinical Social Worker Lacey, WA NPI 1144500182
- Penelope Nancy Lynn Pavlinovic, LICSWClinical Social Worker Lacey, WA NPI 1174050629
About NPI 1700950557
Gary J. Fredericksen, LICSW's National Provider Identifier is 1700950557, issued on Nov 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lacey, WA. The record was last updated on Jul 20, 2007.