KRISTINE LEE FREDERICKSDORF
NPI 1679075865
Social Worker in Cherry Hill, NJ

Q: What is Kristine Fredericksdorf's NPI number?

The NPI number for Kristine Fredericksdorf is 1679075865. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Q: What is Kristine Fredericksdorf's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Kristine Fredericksdorf enrolled in Medicare?

No. Kristine Fredericksdorf has opted out of Medicare through June 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since March 02, 2018Opted out of Medicare · through Jun 4, 2028

1930 ROUTE 70 E STE R91, CHERRY HILL, NJ 08003(856) 751-0505(888) 399-1804 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kristine Lee Fredericksdorf NPPES

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

KRISTINE LEE FREDERICKSDORF (NPI 1679075865) is an individual social worker in Cherry Hill, New Jersey, licensed in New Jersey (44SL06327200) and active in the NPI registry since March 2018. She has opted out of Medicare through June 4, 2028.

NPPES Registry Identity

NPI1679075865

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKRISTINE LEE FREDERICKSDORF

Location Address1930 ROUTE 70 E STE R91Cherry Hill, NJ 08003-4207

Mailing Address117 Cider Press DrMullica Hill, NJ 08062-9481 · (856) 478-0030

Phone(856) 751-0505

Fax(888) 399-1804

Sole ProprietorNo

Enumeration DateMarch 2, 2018

✔ NPI 1679075865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NJ · 44SL06327200

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1930 ROUTE 70 E STE R91, Cherry Hill, NJ 08003

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristine Lee Fredericksdorf has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 4, 2024 through June 4, 2028.

Opt-Out Effective DateJune 4, 2024

Opt-Out In Effect ThroughJune 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

GABRIELLE ROBERTS-YOUNG PSYD

Psychologist

1930 ROUTE 70 E STE R91
CHERRY HILL, NJ 08003

Camden County (856) 220-9672

DR. MICHELLE DEBSKI PSYD

Psychologist (Clinical)

1930 ROUTE 70 E STE R91
CHERRY HILL, NJ 08003

Camden County (856) 220-9672

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 Kristine Fredericksdorf's NPI number?

The NPI number for Kristine Fredericksdorf is 1679075865. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Kristine Fredericksdorf located?

Kristine Fredericksdorf practices at 1930 Route 70 E Ste R91, Cherry Hill, NJ 08003. The listed phone number is (856) 751-0505.

What is Kristine Fredericksdorf's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kristine Fredericksdorf enrolled in Medicare?

No. Kristine Fredericksdorf has opted out of Medicare through June 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristine Fredericksdorf was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.