Jayde Moira Frederick, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

111606 Issued in NY

Practice address

58 Palmetto St Apt 3C
Brooklyn, NY 11221-8217

Phone

(347) 791-1226

NPI assigned

May 21, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1144968017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 48TH ST # 1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051203",
            "telephone_number": "347-791-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PALMETTO ST APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112218217",
            "telephone_number": "347-791-1226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2043 48th St # 1",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111051203",
            "country_code": "US",
            "telephone_number": "347-791-1226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JAYDE MOIRA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghisteine Frederic
• Jean A Frederic, P.A
• Rudy Frederic
• Elva Frederick-Collins
• Hersha Frederick, FNP
• Jessica Frederick, BA, CLC
• Joylyn Frederick
• Marva Frederick
• Murielle Frederick, FNP
• Raheeman Joy Frederick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.