JOHN ALLEN FREDRICKSON LCSW-R, LIMHP
NPI 1023323557
Social Worker - Clinical in New York, NY

Active since August 09, 2010
242 W 30TH ST RM 602, NEW YORK, NY 10001(917) 936-7509 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2020, Aug 13, 2019 (2 updates tracked since 2019).

About John Allen Fredrickson Lcsw-r, Limhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN ALLEN FREDRICKSON LCSW-R, LIMHP (NPI 1023323557) is an individual clinical provider in New York, New York, licensed in New York (081187) and active in the NPI registry since August 2010. He maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1023323557
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN ALLEN FREDRICKSONCredential: LCSW-R, LIMHP
Location Address242 W 30TH ST RM 602New York, NY 10001-4954
Mailing Address8330 Loveland DrOmaha, NE 68124-1310 · (917) 936-7509
Sole ProprietorYes
Enumeration DateAugust 9, 2010
Last NPPES UpdateNovember 2, 20202 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
NPI 1023323557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · 081187 Licensed in NE · 2430
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 081845 (NY)
242 W 30TH ST RM 602, New York, NY 10001

Secondary Practice Location 1

Location 110250 Regency Cir Ste 500Omaha, NE 68114-5703 · Phone (917) 936-7509

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
242 W 30TH ST RM 602
NEW YORK, NY 10001
Marriage & Family Therapist
242 W 30TH ST RM 602
NEW YORK, NY 10001
Counselor (Mental Health)
242 W 30TH ST RM 602
NEW YORK, NY 10001
Music Therapist
242 W 30TH ST RM 602
NEW YORK, NY 10001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Fredrickson's NPI number?

The NPI number for John Fredrickson is 1023323557. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is John Fredrickson located?

John Fredrickson practices at 242 W 30th St Rm 602, New York, NY 10001. The listed phone number is (917) 936-7509.

What is John Fredrickson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for John Fredrickson was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.