MARK TANNER FREDRICKSON
NPI 1265312094
Social Worker - Clinical in Salt Lake City, UT

Active since September 03, 2025
1875 S REDWOOD RD, SALT LAKE CITY, UT 84104(801) 355-2846 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Tanner Fredrickson NPPES

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

MARK TANNER FREDRICKSON (NPI 1265312094) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (14292963-3502) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1265312094
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK TANNER FREDRICKSON
Location Address1875 S REDWOOD RDSalt Lake City, UT 84104-5112
Mailing Address1875 S Redwood RdSalt Lake City, UT 84104-5112
Sole ProprietorNo
Enumeration DateSeptember 3, 2025
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
NPI 1265312094 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 UT · 14292963-3502
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.
1875 S REDWOOD RD, Salt Lake City, UT 84104

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.

Community Health Worker
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Nurse Practitioner (Psychiatric/Mental Health)
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Student in an Organized Health Care Education/Training Program
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Registered Nurse
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Community Health Worker
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Case Manager/Care Coordinator
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104
Community Health Worker
1875 S REDWOOD RD
SLC, UT 84104
Community Health Worker
1875 S REDWOOD RD
SLC, UT 84104

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 Mark Fredrickson's NPI number?

The NPI number for Mark Fredrickson is 1265312094. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Mark Fredrickson located?

Mark Fredrickson practices at 1875 S Redwood Rd, Salt Lake City, UT 84104. The listed phone number is (801) 355-2846.

What is Mark 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 Mark Fredrickson was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.