Active NPIIndividual providerSole proprietor

Ms. Paulette Fredericks, MSW, LCSW

Social Worker, Clinical in Mount Laurel, New Jersey

NPI Number1629103551
Practice location
20000 Horizon Way Ste 120, Mount Laurel, NJ 08054-4303
Fax
856-497-2525
Last updated
April 22, 2026

Paulette Fredericks is a Social Worker, Clinical based in Mount Laurel, NJ. Paulette Fredericks practices in Mount Laurel, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Paulette Fredericks is 1629103551 and holds a License No. 44SC055226600 (NJ). The current practice location address for Paulette Fredericks is 20000 Horizon Way Ste 120, Mount Laurel, NJ 08054-4303 and can be reached out via phone at 856-269-0019 and via fax at 856-497-2525.

Provider Profile Details

NPI Number
1629103551
Provider Name
Paulette Fredericks
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
20000 Horizon Way Ste 120, Mount Laurel, NJ 08054-4303
Phone Number
856-269-0019
Fax Number
856-497-2525
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 22, 2007
Last Update Date
April 22, 2026
Certification Date
April 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
20000 Horizon Way Ste 120
Mount Laurel, NJ 08054-4303
Zip
08054-4303
Phone Number
856-269-0019
Fax Number
856-497-2525
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
20000 Horizon Way Ste 120
Mount Laurel, NJ 08054-4303
City
Mount Laurel
State
NJ
Zip
08054-4303
Phone Number
856-269-0019
Fax Number
856-497-2525

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
44SC055226600
License State (2)
NJ
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Paulette Fredericks, MSW, LCSW?

The NPI number of Ms. Paulette Fredericks, MSW, LCSW is 1629103551. It was assigned on February 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Paulette Fredericks, MSW, LCSW?

Ms. Paulette Fredericks, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC055226600.

Where does Ms. Paulette Fredericks, MSW, LCSW practice?

The practice location is 20000 Horizon Way Ste 120, Mount Laurel, NJ 08054-4303. The office can be reached at 856-269-0019 (phone) or 856-497-2525 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629103551 directly on the NPPES registry website.

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