Gregory L Frederick, RCSWI

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5975 Sunset Dr Ste 504
South Miami, FL 33143-5118

Phone

(561) 444-3512

Fax

(800) 915-6119

NPI assigned

Nov 4, 2019

Sex

Male

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

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1043854979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 LAKE WORTH RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613918",
            "telephone_number": "561-444-3512",
            "fax_number": "800-915-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 SUNSET DR STE 504",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435118",
            "telephone_number": "561-444-3512",
            "fax_number": "800-915-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334613918",
            "country_code": "US",
            "telephone_number": "561-444-3512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "GREGORY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "RCSWI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in South Miami, FL
• Providers in South Miami, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.