Individual provider · Type 1 NPI

Rebecca Nicole Fredericks, LICSW, PMH-C

Clinical Social Worker · Providence, RI

NPI number 1831935774 Active

Practice location

1075 Smith St Ste 2
Providence, RI 02908-2700

Fax (401) 369-9275

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW04082 (RI)

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 1831935774

Rebecca Nicole Fredericks, LICSW, PMH-C's National Provider Identifier is 1831935774, issued on Jul 1, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Providence, RI. The record was last updated on Aug 7, 2024.