Patricia Ann Frederick in St Petersburg - Clinical
Patricia Ann Frederick - NPI 1639286065
Patricia Ann Frederick is a Clinical in St Petersburg, Florida. Patricia Ann Frederick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Ann Frederick is 1639286065. The last update date is 2007-07-11.
Patricia Ann Frederick's current location address is 10735 Village Club Cir N, St Petersburg, Florida. You can contact this provider via phone number 7274032217 and fax number 7272179779. The mailing address for Patricia Ann Frederick is 10735 Village Club Cir N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Ann Frederick |
|---|---|
| Address | 10735 Village Club Cir N, St Petersburg, Florida |
| Phone Number | 7274032217 |
| Fax Number | 7272179779 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1639286065 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-11 |
Provider Mailing Address Detail
| Address | 10735 Village Club Cir N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337163038 |
| Phone Number | 7274032217 |
| Fax Number | 7272179779 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW 3262 |
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Definition: 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, certif |
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What is the unique identifier code issued to Patricia Ann Frederick by the Centers for Medicare & Medicaid Services (CMS)?
The Patricia Ann Frederick has been assigned the NPI (National Provider Identifier) 1639286065. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Patricia Ann Frederick located?
The Patricia Ann Frederick is located at 10735 Village Club Cir N, St Petersburg, FL 337163038.
What is Patricia Ann Frederick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Ann Frederick's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639286065 to Patricia Ann Frederick?
The Centers for Medicare & Medicaid Services assigned the 1639286065 to Patricia Ann Frederick on 2006-08-23.
As of what date was the information regarding Patricia Ann Frederick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Patricia Ann Frederick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-11.