Mick Fredrickson, LCSW | |
425 2nd Ave Sw Ste 102, Albany, OR 97321-2483 | |
(541) 286-3209 | |
(541) 704-0040 |
Full Name | Mick Fredrickson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 20 Years |
Location | 425 2nd Ave Sw Ste 102, Albany, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104180520 | NPI | - | NPPES |
500710040 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L6743 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Reclaim Life Llc | 7416293493 | 3 |
Entity Name | Reclaim Life Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043788896 PECOS PAC ID: 7416293493 Enrollment ID: O20190618003620 |
Mailing Address | Practice Location Address |
---|---|
Mick Fredrickson, LCSW 425 2nd Ave Sw Ste 102, Albany, OR 97321-2483 Ph: (541) 286-3209 | Mick Fredrickson, LCSW 425 2nd Ave Sw Ste 102, Albany, OR 97321-2483 Ph: (541) 286-3209 |
Tanya R Thompson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 445 3rd Ave Sw, Albany, OR 97321 Phone: 541-967-3866 Fax: 541-928-3020 | |
John Corbett Caster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 630 4th Ave Se, Albany, OR 97321 Phone: 541-254-0158 | |
Malia P. Delohery-dart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2730 Pacific Blvd Se, Albany, OR 97321 Phone: 541-967-3866 Fax: 541-672-7146 | |
Rosa E Plascencia, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 734 Elm St Sw, Albany, OR 97321 Phone: 541-812-5111 | |
Janet Spencer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Hickory St Nw Ste 100, Albany, OR 97321 Phone: 541-812-5880 | |
Meghan West, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2730 Pacific Blvd Se, Albany, OR 97321 Phone: 541-967-3866 |