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NICOLE FREDERICKS
NPI 1669008983
Case Manager/Care Coordinator in San Diego, CA

Active since March 18, 2020
1202 MORENA BLVD STE 300, SAN DIEGO, CA 92110(619) 275-0822 Get Directions Write a Review

NPPES record last updated: March 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Fredericks NPPES

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

NICOLE FREDERICKS (NPI 1669008983) is an individual case manager/care coordinator provider in San Diego, California and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1669008983
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameNICOLE FREDERICKS
Location Address1202 MORENA BLVD STE 300San Diego, CA 92110-3844
Mailing Address1202 Morena Blvd Ste 300San Diego, CA 92110-3844 · (619) 275-0822
Phone(619) 275-0822
Sole ProprietorNo
Enumeration DateMarch 18, 2020
NPPES CertifiedMarch 18, 2020
✔ NPI 1669008983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1202 MORENA BLVD STE 300, San Diego, CA 92110
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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.

MRS. VERONICA YVETTE EPHRAIM M.S.
Marriage & Family Therapist
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
ANDREA MARITZA AMAYA
Student in an Organized Health Care Education/Training Program
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 398-3261
JACOB WARNERS
Student in an Organized Health Care Education/Training Program
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 275-0822
JULIA A JONES RN
Counselor (Mental Health)
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 275-0822
GABRIELA CONTRERAS NAVARRO LMFT
Marriage & Family Therapist
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 276-8112
CHEYENNE BARTRAM
Day Training/Habilitation Specialist
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 275-0822
NICOLE K HEESEN
Counselor (Mental Health)
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 275-0822
MISS MONIQUE HOPE GUERRERO
Counselor (Mental Health)
1202 MORENA BLVD STE 300
SAN DIEGO, CA 92110
San Diego County (619) 275-0823

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 Nicole Fredericks's NPI number?

The NPI number for Nicole Fredericks is 1669008983. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Where is Nicole Fredericks located?

Nicole Fredericks practices at 1202 Morena Blvd Ste 300, San Diego, CA 92110. The listed phone number is (619) 275-0822.

What is Nicole Fredericks's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nicole Fredericks was last updated on March 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.