Individual provider · Type 1 NPI

Amanda Sue Frederick, MSW, LCSW

Clinical Social Worker · Cabool, MO

NPI number 1770632556 Active

Practice location

12581 Dallas Lane
Cabool, MO 65689

Mailing address

PO Box 714
Cabool, MO 65689-0714

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2005027056 (MO)
Social Worker 104100000X2005027056 (MO)

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…

About NPI 1770632556

Amanda Sue Frederick, MSW, LCSW's National Provider Identifier is 1770632556, issued on Jan 9, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cabool, MO. The record was last updated on Sep 11, 2025.