Richalyn B Fredriksen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-08776 Issued in NM

Practice address

3802 College Boulevard
Farmington, NM 87402

Phone

(505) 599-8608

NPI assigned

Nov 2, 2009

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

State licenses

Practice roles

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

• Family Crisis Center Inc.

  • Case Management Agency
  • Farmington, NM
  • NPI 1144379264
  NPD (past)
• Farmington Public Schools

  • Local Education Agency (LEA)
  • Farmington, NM
  • NPI 1114000221
  NPD (past)

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1023344637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E 30TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874028805",
            "telephone_number": "505-325-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 COLLEGE BOULEVARD",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87402",
            "telephone_number": "505-599-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRIKSEN",
        "first_name": "RICHALYN",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia J. Frank, PT
• Christina Ylva Franklin, P.T.
• Faith Frazier, PA-S
• Mary L Freddie, LMHC
• Rebekah Fredericks
• Ryan Freestone
• Shayne Alexander Fronheiser
• Shawna M Frost, NP
• Donald Richard Froyd Jr., PH.D., LMFT
• Kellie L. Fuller, CMT,LMT

• Clinical Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.