REBECCA NICOLE FREDERICKS LICSW, PMH-C
NPI 1831935774
Social Worker - Clinical in Providence, RI

Q: What is Rebecca Fredericks's NPI number?

The NPI number for Rebecca Fredericks is 1831935774. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Q: What is Rebecca Fredericks's specialty?

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

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment

1075 SMITH ST STE 2, PROVIDENCE, RI 02908(401) 369-9224(401) 369-9275 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, Jul 1, 2024 (2 updates tracked since 2024).

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About Rebecca Nicole Fredericks Licsw, Pmh-c NPPES

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

REBECCA NICOLE FREDERICKS LICSW, PMH-C (NPI 1831935774) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (ISW04082) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1831935774

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameREBECCA NICOLE FREDERICKSCredential: LICSW, PMH-C

Location Address1075 SMITH ST STE 2Providence, RI 02908-2700

Mailing Address1075 Smith St Ste 2Providence, RI 02908-2700 · (401) 369-9224 · Fax (401) 369-9275

Phone(401) 369-9224

Fax(401) 369-9275

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 1, 2024

Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1831935774 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 RI · ISW04082

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.

1075 SMITH ST STE 2, Providence, RI 02908

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Rebecca Nicole Fredericks Licsw, Pmh-c 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 ID7618413873

PECOS Enrollment IDI20240724000425

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 02908 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 $58.57 – $177.03

Typical copayment $0.00 (range $14.64 – $44.25)

Most-billed visit code NA

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

OLIVIA FOOTER APRN

Nurse Practitioner (Psychiatric/Mental Health)