Individual provider · Type 1 NPI

Raymond Gene Fredrickson, MSW, LICSW, SUDPT

Clinical Social Worker · Spokane, WA

NPI number 1902495351 Active

Practice location

104 S Freya St
Spokane, WA 99202-4862

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW61238408 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCO61137490 (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…

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About NPI 1902495351

Raymond Gene Fredrickson, MSW, LICSW, SUDPT's National Provider Identifier is 1902495351, issued on Jan 11, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Spokane, WA. The record was last updated on Sep 8, 2025.