Individual provider · Type 1 NPI

Hannah Lane Fredricks, LCSW

Clinical Social Worker · Jackson, WY

NPI number 1760229744 Active

Practice location

625 E Broadway Ave
Jackson, WY 83001-8642

Call (307) 739-6124 Map

Mailing address

PO Box 7005
Jackson, WY 83002-7005

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-1681 (WY)

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 1760229744

Hannah Lane Fredricks, LCSW's National Provider Identifier is 1760229744, issued on Jul 9, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, WY. The record was last updated on Jul 9, 2024.