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SAMANTHA FREDERICK
NPI 1053736199
Counselor in Clarkston, WA

Active since February 26, 2014
900 7TH STREET, CLARKSTON, WA 99403(509) 758-3341 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Frederick NPPES

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

SAMANTHA FREDERICK (NPI 1053736199) is an individual counselor in Clarkston, Washington and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1053736199
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA FREDERICK
Location Address900 7TH STREETClarkston, WA 99403
Mailing Address900 7th StreetClarkston, WA 99403 · (509) 758-3341
Phone(509) 758-3341
Sole ProprietorNo
Enumeration DateFebruary 26, 2014
Last NPPES UpdateSeptember 11, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1053736199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
900 7TH STREET, Clarkston, WA 99403
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Other Names 1

Former Name (1)Samantha Gormsen

Other Identifiers 1

Other1000001WA · 1000001

Other Providers at the Same Location NPPES 11

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

CINDY ROBERTS
Social Worker
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
DANIKA GWINN MA
Behavior Analyst
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
REMINGTON EDWARDS SALONEN RADT-I
Counselor (Mental Health)
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
BRIANNA NICOLE BROWN-CRAGIE
Counselor (Addiction (Substance Use Disorder))
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
JULIA THERESE OGG
Social Worker
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
QUALITY BEHAVIORAL HEALTH
Clinic/Center (Rehabilitation, Substance Use Disorder)
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
MELISSA SQUIRES-WILLIAMS LMC
Counselor (Mental Health)
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341
LINDSEY CANNARD
Counselor (Addiction (Substance Use Disorder))
900 7TH STREET
CLARKSTON, WA 99403
Asotin County (509) 758-3341

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 Samantha Frederick's NPI number?

The NPI number for Samantha Frederick is 1053736199. It was assigned to this individual provider in the NPPES registry on February 26, 2014. The provider is also known as Samantha Gormsen.

Where is Samantha Frederick located?

Samantha Frederick practices at 900 7th Street, Clarkston, WA 99403. The listed phone number is (509) 758-3341.

What is Samantha Frederick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Samantha Frederick was last updated on September 11, 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.