Amanda Fredrick, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2614234 Issued in OH

Practice address

3330 Glendale Ave
Toledo, OH 43614-2425

Phone

(419) 242-9955

NPI assigned

Aug 19, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tasc of Northwest Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1548538143
  NPD
• Tasc of Northwest Ohio

  • Case Management Agency
  • Toledo, OH
  • NPI 1922171677
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1013749894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142425",
            "telephone_number": "419-242-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142425",
            "telephone_number": "419-242-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICK",
        "first_name": "AMANDA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2614234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marquisa Frazier
• Shakira Frazier
• Tequilla Frazier, LPCC-S, LICDC-CS
• Kelly Frederick, LPN
• Stephanie Marie Frederick, CNP
• Bradley Fredrick, ATC
• Robert S Fredrick, M.D.
• Sydney Free
• Freedom at Home Ohio Inc.
• Carla Freelove

• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.