Active NPIIndividual providerSole proprietor

Ms. Malia J Fredrickson, LMSW

Social Worker in Middletown, New York

NPI Number1912551615
Practice location
15 Fortune RD W, Middletown, NY 10941-1625
Fax
—
Last updated
July 31, 2019

Malia Jeanne Fredrickson is a Social Worker based in Middletown, NY. Malia Jeanne Fredrickson practices in Middletown, NY and has the professional credentials of LMSW. The NPI Number for Malia Jeanne Fredrickson is 1912551615 and holds a License No. 1030141 (NY). The current practice location address for Malia Jeanne Fredrickson is 15 Fortune RD W, Middletown, NY 10941-1625 and can be reached out via phone at 845-673-7123.

Provider Profile Details

NPI Number
1912551615
Provider Name
Malia Jeanne Fredrickson
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
15 Fortune RD W, Middletown, NY 10941-1625
Phone Number
845-673-7123
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2019
Last Update Date
July 31, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Fortune RD W
Middletown, NY 10941-1625
Zip
10941-1625
Phone Number
845-673-7123
Middletown, NY 10941Get directions →

Provider Business Mailing Address Details

Address
15 Fortune RD W
Middletown, NY 10941-1625
City
Middletown
State
NY
Zip
10941-1625

License Information

License Number
1030141
License State
NY
Taxonomy
Social Worker · 104100000X · 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. Malia J Fredrickson, LMSW?

The NPI number of Ms. Malia J Fredrickson, LMSW is 1912551615. It was assigned on July 31, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Malia J Fredrickson, LMSW?

Ms. Malia J Fredrickson, LMSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number 1030141.

Where does Ms. Malia J Fredrickson, LMSW practice?

The practice location is 15 Fortune RD W, Middletown, NY 10941-1625. The office can be reached at 845-673-7123 (phone).

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 1912551615 directly on the NPPES registry website.

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