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CHRISTIAN DANYELL ELLIS FREDERICK LCSW, CCM
NPI 1356658108
Social Worker - Clinical in San Diego, CA

Active since August 31, 2010
4715 VIEWRIDGE AVE STE 110, SAN DIEGO, CA 92123(800) 257-8715 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christian Danyell Ellis Frederick Lcsw, Ccm NPPES

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

CHRISTIAN DANYELL ELLIS FREDERICK LCSW, CCM (NPI 1356658108) is an individual clinical provider in San Diego, California, licensed in Indiana (34005465A) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1356658108
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHRISTIAN DANYELL ELLIS FREDERICKCredential: LCSW, CCM
Location Address4715 VIEWRIDGE AVE STE 110San Diego, CA 92123-1680
Mailing Address8105 Grassy Meadow CtIndianapolis, IN 46259-7728 · (317) 965-3349
Phone(800) 257-8715
Sole ProprietorNo
Enumeration DateAugust 31, 2010
✔ NPI 1356658108 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 IN · 34005465A
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.
4715 VIEWRIDGE AVE STE 110, San Diego, CA 92123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Christian Ellis Frederick's NPI number?

The NPI number for Christian Ellis Frederick is 1356658108. It was assigned to this individual provider in the NPPES registry on August 31, 2010.

Where is Christian Ellis Frederick located?

Christian Ellis Frederick practices at 4715 Viewridge Ave Ste 110, San Diego, CA 92123. The listed phone number is (800) 257-8715.

What is Christian Ellis Frederick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Christian Ellis Frederick accept?

Health plans from UnitedHealthcare list Christian Ellis Frederick 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 Christian Ellis Frederick was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.