Kristin Lee Frederick in New Hudson - Clinical
Kristin Lee Frederick - NPI 1477727972
Kristin Lee Frederick is a Clinical in New Hudson, Michigan. Kristin Lee Frederick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kristin Lee Frederick is 1477727972. The last update date is 2008-04-15.
Kristin Lee Frederick's current location address is 55919 Pontiac Trail Ct, New Hudson, Michigan. You can contact this provider via phone number 2483612925. The mailing address for Kristin Lee Frederick is 55919 Pontiac Trail Ct, New Hudson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Lee Frederick |
|---|---|
| Address | 55919 Pontiac Trail Ct, New Hudson, Michigan |
| Phone Number | 2483612925 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSW |
NPI Number Detail
| NPI Number | 1477727972 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2008-04-15 |
Provider Mailing Address Detail
| Address | 55919 Pontiac Trail Ct |
|---|---|
| City | New Hudson |
| State | Michigan (MI) |
| Post Code | 481659332 |
| Phone Number | 2483612925 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801087058 |
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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 Kristin Lee Frederick by the Centers for Medicare & Medicaid Services?
The Kristin Lee Frederick has been assigned the NPI (National Provider Identifier) 1477727972. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kristin Lee Frederick is located?
The Kristin Lee Frederick is situated at the following address: 55919 Pontiac Trail Ct, New Hudson, MI, 481659332.
What is the Kristin Lee Frederick's area of specialization and corresponding taxonomy classification?
The Kristin Lee Frederick's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1477727972 to Kristin Lee Frederick?
The Centers for Medicare & Medicaid Services assigned the 1477727972 to Kristin Lee Frederick on 2008-04-15.
When was the information regarding Kristin Lee Frederick most recently updated?
The details pertaining to the Kristin Lee Frederick, including its address, specialty, and other relevant information, were last refreshed on 2008-04-15.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY