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RAYMOND GENE FREDRICKSON MSW, LICSW, SUDPT
NPI 1902495351
Social Worker - Clinical in Spokane, WA

Active since January 11, 2021PECOS EnrolledAccepts Medicare Assignment
83.86/100
CMS Quality Rating
104 S FREYA ST, SPOKANE, WA 99202(509) 964-1590 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, Jan 11, 2021 (2 updates tracked since 2021).

About Raymond Gene Fredrickson Msw, Licsw, Sudpt NPPES

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

RAYMOND GENE FREDRICKSON MSW, LICSW, SUDPT (NPI 1902495351) is an individual clinical provider in Spokane, Washington, licensed in Washington (LW61238408) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1902495351
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRAYMOND GENE FREDRICKSONCredential: MSW, LICSW, SUDPT
Location Address104 S FREYA STSpokane, WA 99202-4862
Mailing Address104 S Freya StSpokane, WA 99202-4862 · (509) 992-9075
Phone(509) 964-1590
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 11, 2021
Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1902495351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61238408
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO61137490 (WA)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Raymond Gene Fredrickson Msw, Licsw, Sudpt 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 ID4284001702
PECOS Enrollment IDI20221111001900
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 99202 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.72
Promoting Interoperability57
Improvement Activities40
Cost100

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.

MR. RICHARD LEO WILSON LMHC
Counselor (Mental Health)
104 S FREYA ST, STE 215B ORANGE FLAG BLDG
SPOKANE, WA 99202
Spokane County (509) 535-2048
MR. KELVIN DOUGLAS CRAFTON RPH
Pharmacist (Pharmacotherapy)
104 S FREYA ST, STE 225 TURQUOISE FLAG BLDG
SPOKANE, WA 99202
Spokane County (509) 343-5200
LAURIE L. MILLER M.S.
Counselor (Mental Health)
104 S FREYA ST, LILAC BUILDING SUITE 118
SPOKANE, WA 99202
Spokane County (509) 535-3990
HSU & GHORBANIAN
Clinic/Center (Dental)
104 S FREYA ST, SUITE 127
SPOKANE, WA 99202
Spokane County (509) 536-9999
MEGEN ALISON TYLER M.S.
Counselor (Mental Health)
104 S FREYA ST, LILAC BLDG., SUITE 118
SPOKANE, WA 99202
Spokane County (509) 535-3990
MEGAN SEXTON LICSW
Counselor (Mental Health)
104 S FREYA ST, WHITE FLAG BLDG, STE 119A
SPOKANE, WA 99202
Spokane County (509) 294-2495
SPOKANE BEHAVIORAL HEALTH CARE, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
104 S FREYA ST
SPOKANE, WA 99202
Spokane County (509) 534-8713
MS. MARGARET ANN JONES ARNP
Nurse Practitioner (Psychiatric/Mental Health)
104 S FREYA ST, LILAC FLAG BG SUITE 118
SPOKANE, WA 99202
Spokane County (509) 536-2070

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 Raymond Fredrickson's NPI number?

The NPI number for Raymond Fredrickson is 1902495351. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Raymond Fredrickson located?

Raymond Fredrickson practices at 104 S Freya St, Spokane, WA 99202. The listed phone number is (509) 964-1590.

What is Raymond Fredrickson's specialty?

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

Is Raymond Fredrickson enrolled in Medicare?

Yes. Raymond Fredrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raymond Fredrickson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Raymond Fredrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raymond Fredrickson was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.