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Mr. Gary J Fredericksen, LICSW
Clinical Social Worker in Lacey, Washington
NPI 1700950557

Gary J Fredericksen is a Clinical Social Worker based in Lacey, WA and is specialized in Clinical. Gary J Fredericksen practices in Lacey, WA and has the professional credentials of LICSW. The NPI Number for Gary J Fredericksen is 1700950557 and holds a License No. LW00004165 (Washington).

The current practice location address for Gary J Fredericksen is 4422 6Th Ave Se, Lacey, WA and can be reached out via phone at 360-704-7170 and via fax at 360-412-4982.

Location: 4422 6Th Ave Se, Lacey, WA, 98503-1020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700950557
Provider Name
Gary J Fredericksen
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
4422 6Th Ave Se, Lacey, WA, 98503-1020
Phone Number
360-704-7170
Fax Number
360-412-4982
Provider Enumeration Date
11/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4422 6Th Ave Se
City
Lacey
State
Washington
Zip
98503-1020
Phone Number
360-704-7170
Fax Number
360-412-4982
person
Provider Business Mailing Address Details
Address
4422 6Th Ave Se
City
Lacey
State
Washington
Zip
98503-1020
Phone Number
360-704-7170
Fax Number
360-412-4982
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LW00004165 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LW00004165 (Washington)
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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