MS. PAULETTE FREDERICKS MSW, LCSW
NPI 1629103551
Social Worker - Clinical in Mount Laurel, NJ

Q: What is Paulette Fredericks's NPI number?

The NPI number for Paulette Fredericks is 1629103551. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Paulette Fredericks's specialty?

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

Active since February 22, 2007PECOS EnrolledAccepts Medicare Assignment

20000 HORIZON WAY STE 120, MOUNT LAUREL, NJ 08054(856) 269-0019(856) 497-2525 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Nov 11, 2025 (2 updates tracked since 2025).

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About Ms. Paulette Fredericks Msw, Lcsw NPPES

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

MS. PAULETTE FREDERICKS MSW, LCSW (NPI 1629103551) is an individual clinical provider in Mount Laurel, New Jersey, licensed in New Jersey (44SC055226600) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1629103551

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. PAULETTE FREDERICKSCredential: MSW, LCSW

Location Address20000 HORIZON WAY STE 120Mount Laurel, NJ 08054-4303

Mailing Address20000 Horizon Way Ste 120Mount Laurel, NJ 08054-4303 · (856) 269-0019 · Fax (856) 497-2525

Phone(856) 269-0019

Fax(856) 497-2525

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateFebruary 22, 2007

Last NPPES UpdateApril 22, 20262 updates tracked since enumeration

NPPES CertifiedApril 22, 2026

✔ NPI 1629103551 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 NJ · 44SC055226600

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.

20000 HORIZON WAY STE 120, Mount Laurel, NJ 08054

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Other Identifiers 1

Medicaid0053643NJ

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

Ms. Paulette Fredericks Msw, 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.

PECOS PAC ID5496199143

PECOS Enrollment IDI20240221001621

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $61.59 – $185.05

Typical copayment $0.00 (range $15.39 – $46.26)

Most-billed visit code NA

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

ANTHONY MARK CRAFT JR. LSW

Social Worker