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MRS. MELYSSA J FREDERICK
NPI 1114131422
Social Worker - Clinical in Ballwin, MO

Active since May 09, 2007
396 BENBOW CT, BALLWIN, MO 63011(636) 207-7878(636) 207-7869 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Melyssa J Frederick NPPES

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

MRS. MELYSSA J FREDERICK (NPI 1114131422) is an individual clinical provider in Ballwin, Missouri, licensed in Missouri (005968) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1114131422
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MELYSSA J FREDERICK
Location Address396 BENBOW CTBallwin, MO 63011-2541
Mailing Address396 Benbow CtBallwin, MO 63011-2541 · (636) 207-7878 · Fax (636) 207-7869
Phone(636) 207-7878
Fax(636) 207-7869
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114131422 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 MO · 005968
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.
396 BENBOW CT, Ballwin, MO 63011
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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 Melyssa Frederick's NPI number?

The NPI number for Melyssa Frederick is 1114131422. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Melyssa Frederick located?

Melyssa Frederick practices at 396 Benbow Ct, Ballwin, MO 63011. The listed phone number is (636) 207-7878.

What is Melyssa Frederick'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 Melyssa Frederick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.