MICK FREDRICKSON LCSW
NPI 1104180520
Social Worker - Clinical in Albany, OR
About Mick Fredrickson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICK FREDRICKSON LCSW (NPI 1104180520) is an individual clinical provider in Albany, Oregon, licensed in Oregon (L6743) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Albany, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mick Fredrickson Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mick Fredrickson's NPI number?
The NPI number for Mick Fredrickson is 1104180520. It was assigned to this individual provider in the NPPES registry on June 29, 2012.
Where is Mick Fredrickson located?
Mick Fredrickson practices at 425 2nd Ave SW Ste 102, Albany, OR 97321. The listed phone number is (541) 286-3209.
What is Mick Fredrickson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mick Fredrickson enrolled in Medicare?
Yes. Mick Fredrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mick Fredrickson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Mick Fredrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mick Fredrickson was last updated on April 14, 2021. 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.
# Mick Fredrickson, LCSW · NPI 1104180520
Clinical provider in Albany, Oregon. Individual provider, active in the CMS NPPES registry since June 29, 2012.
## Identity
- **NPI:** 1104180520 (Entity type: Individual)
- **Enumerated:** June 29, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** L6743 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 425 2ND AVE SW STE 102, Albany, OR 97321-2483
- **Phone:** (541) 286-3209 · **Fax:** (541) 704-0040
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 14, 2021
- **Other identifiers:** Medicaid 500710040 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1104180520) · Data from the CMS NPPES public registry.