JANICE S FREDERICKS LCSW
NPI 1538185129
Social Worker - Clinical in Mountain City, TN

Q: What is Janice Fredericks's NPI number?

The NPI number for Janice Fredericks is 1538185129. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Janice Fredericks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janice Fredericks was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 15, 2006

919 MEDICAL PARK DR, MOUNTAIN CITY, TN 37683(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Janice S Fredericks Lcsw NPPES

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

JANICE S FREDERICKS LCSW (NPI 1538185129) is an individual clinical provider in Mountain City, Tennessee, licensed in Tennessee (LCSW0000003418) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1538185129

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJANICE S FREDERICKSCredential: LCSW

Location Address919 MEDICAL PARK DRMountain City, TN 37683-1042

Mailing Address119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353

Phone(423) 282-1480

Fax(423) 928-1353

Sole ProprietorNo

Enumeration DateJuly 15, 2006

Last NPPES UpdateMay 5, 2015

✔ NPI 1538185129 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 TN · LCSW0000003418

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.

919 MEDICAL PARK DR, Mountain City, TN 37683

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Other Identifiers 1

Medicaid3699273TN

Other Providers at the Same Location NPPES 10

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

BRITTANY S HILL APN

Nurse Practitioner (Primary Care)