Janice S Fredericks, LCSW is a
Social Worker - Clinical based in Mountain City, Tennessee. Janice S Fredericks is licensed to practice in Tennessee (license number LCSW0000003418) and her current practice location is
919 Medical Park Dr, Mountain City, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 282-1480.
NPI number for Janice S Fredericks is 1538185129 and her current mailing address is 119 Boone Ridge Dr, Suite 201, Johnson City, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538185129.
Healthcare Provider's Profile
| Full Name | Janice S Fredericks |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 919 Medical Park Dr, Mountain City, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538185129
- Provider Enumeration Date: 07/15/2006
- Last Update Date: 05/05/2015
Medical Identifiers
Medical identifiers for Janice S Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538185129 | NPI | - | NPPES |
| 3699273 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LCSW0000003418 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janice S Fredericks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Janice S Fredericks, LCSW
119 Boone Ridge Dr, Suite 201,
Johnson City, TN 37615-4998
Ph: (423) 282-1480 | Janice S Fredericks, LCSW
919 Medical Park Dr,
Mountain City, TN 37683-1042
Ph: (423) 282-1480 |
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