Individual provider · Type 1 NPI

Michele Marie Frederick, LCSW

Clinical Social Worker · Durango, CO

NPI number 1891247243 Active

Practice location

1125 Three Springs Blvd
Durango, CO 81301-9033

Call (970) 403-0180 Map

Fax (970) 403-0190

Mailing address

150 Mercury Village Dr
Durango, CO 81301-8955

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09928065 (CO)

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 1891247243

Michele Marie Frederick, LCSW's National Provider Identifier is 1891247243, issued on Nov 2, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durango, CO. The record was last updated on Feb 9, 2026.