Samantha Frederick, LICDC/LSW is a
Social Worker based in Cincinnati, Ohio. Samantha Frederick is licensed to practice in Ohio (license number S.1600991) and her current practice location is
2300 Wall St, Suite F, Cincinnati, Ohio. She can be reached at her office (for appointments etc.) via phone at
(513) 834-7063.
NPI number for Samantha Frederick is 1396297651 and her current mailing address is 2300 Wall St, Suite F, Cincinnati, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396297651.
Healthcare Provider's Profile
Full Name | Samantha Frederick |
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Gender | Female |
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Speciality | Social Worker |
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Location | 2300 Wall St, Cincinnati, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396297651
- Provider Enumeration Date: 11/02/2016
- Last Update Date: 06/05/2018
Medical Identifiers
Medical identifiers for Samantha Frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396297651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.161527 (Ohio) | Secondary |
104100000X | Social Worker | S.1600991 (Ohio) | 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. Samantha Frederick 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 |
Samantha Frederick, LICDC/LSW 2300 Wall St, Suite F, Cincinnati, OH 45212-2781 Ph: (513) 834-7063 | Samantha Frederick, LICDC/LSW 2300 Wall St, Suite F, Cincinnati, OH 45212 Ph: (513) 834-7063 |
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