Aquilla Frederick, M.B.A., L.M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R062257-1 Issued in NY

Practice address

240 E 59TH St
New York, NY 10022-1475

Phone

(212) 421-0473

Fax

(212) 644-9803

NPI assigned

Apr 6, 2006

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144282864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 59TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221475",
            "telephone_number": "212-421-0473",
            "fax_number": "212-644-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 59TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221475",
            "telephone_number": "212-421-0473",
            "fax_number": "212-644-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "AQUILLA",
        "name_prefix": "Ms.",
        "credential": "M.B.A., L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R062257-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Community Pharmacy Inc
• Frederick E. Solomon
• Frederick Rutkovsky MD PC
• Frederick S Mendelsohn MD PC
• Hazel Beverly Frederick-McMillan
• Gladys Frederick
• Jeremy J Frederick, MD
• Mary Margaret Frederick, PH.D.
• Nicole Marie Frederick, L.AC
• Shauna Louise Cynthia Frederick, LMSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.