Tasha Michelle Frederick, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9309 Issued in SC

Practice address

3255 Landmark Dr BLDG 200
North Charleston, SC 29418-8461

Phone

(843) 534-1527

Fax

(843) 989-0427

NPI assigned

Jun 15, 2007

Last updated

Apr 27, 2026By the provider in NPPES

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

Other identifiers 1

Other names 1

• Mrs. Tasha M Williams Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Peaceful Foundations Wellness Center LLC

  • Clinical Social Worker
  • North Charleston, SC
  • NPI 1720972219
  Medicare reassignment NPD Authorized official
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  SC

  Medicare reassignment Care Compare group
• Covenant Counseling of South Carolina

  • Professional Counselor
  • Summerville, SC
  • NPI 1073732822
  NPD (past)
• Strength of My Heart LLC

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1093253866
  NPD (past)
• Senior Psych Solutions Corp

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1225078629
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1215132733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 LANDMARK DR BLDG 200",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188461",
            "telephone_number": "843-534-1527",
            "fax_number": "843-989-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 LANDMARK DR BLDG 200",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188461",
            "telephone_number": "843-534-1527",
            "fax_number": "843-989-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "TASHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG3380",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "WILLIAMS",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Clay Franklin Jr., M.D.
• Shayla Franklin
• Amber Lee Ann Frazier
• Latasha Bernice Frazier, MA, LPC, LAC-A, LMHC
• Sharon Frazier
• Free Spirit Counseling and Wellness
• Marcelene Freeman, R.N.
• Elizabeth V Freer, PA-C
• Fresh Start Home Care LLC
• Timothy Luther Freshwater, RPH

• Clinical Social Worker in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.