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JEAN M FREDRICKSON LCSW
NPI 1083973366
Social Worker - Clinical in Newport, OR

Active since May 08, 2012
930 SW ABBEY ST, NEWPORT, OR 97365(541) 574-1811 Get Directions Write a Review

NPPES record last updated: May 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean M Fredrickson Lcsw NPPES

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

JEAN M FREDRICKSON LCSW (NPI 1083973366) is an individual clinical provider in Newport, Oregon, licensed in Oregon (L3255) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1083973366
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEAN M FREDRICKSONCredential: LCSW
Location Address930 SW ABBEY STNewport, OR 97365-4820
Mailing Address930 Sw Abbey StNewport, OR 97365-4820 · (541) 574-1811
Phone(541) 574-1811
Sole ProprietorYes
Enumeration DateMay 8, 2012
✔ NPI 1083973366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L3255
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.
930 SW ABBEY ST, Newport, OR 97365
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Other Providers at the Same Location NPPES 20

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

SAMARITAN PACIFIC HEALTH SERVICES INC
Pharmacy (Institutional Pharmacy)
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 574-4840
DEBRA PANKIEWICZ MD
Internal Medicine
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 265-2244
KAREN G. KOZICK RD, CDE
Nutritionist (Nutrition, Education)
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 574-1815
CODY SHANE ALLISON BS, ACSM-CEP
Clinical Exercise Physiologist
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 574-4856
MR. RICHARD KASEY CRAVEN CSFA
Technician/Technologist
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 574-4972
SAMARITAN PACIFIC HEALTH SERVICES INC
Medicare Defined Swing Bed Unit
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 265-2244
TYLER R SCHULZ DO
Internal Medicine
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 265-2244
NICOLE JOLIN RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
930 SW ABBEY ST
NEWPORT, OR 97365
Lincoln County (541) 574-4840

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 Jean Fredrickson's NPI number?

The NPI number for Jean Fredrickson is 1083973366. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Jean Fredrickson located?

Jean Fredrickson practices at 930 SW Abbey St, Newport, OR 97365. The listed phone number is (541) 574-1811.

What is Jean 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 Jean Fredrickson was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.