Robert M. Fredrick, M.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW000144 Issued in GA

Practice address

2801 Buford Hwy NE
Suite 508
Atlanta, GA 30329-2149

Phone

(404) 636-1108

Fax

(404) 636-9482

NPI assigned

Dec 21, 2006

Sex

Male

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)

Enrolled

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.

• Robert M. Fredrick, LCSW,PC

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1992076988
  NPD (past) Authorized official
• Dairlyn Chelette LCSW LLC

  • Community/Behavioral Health Agency
  • Berkeley Lake, GA
  • NPI 1215592118
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316001357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 508",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "404-636-1108",
            "fax_number": "404-636-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE",
            "address_2": "SUITE 508",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292149",
            "telephone_number": "404-636-1108",
            "fax_number": "404-636-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICK",
        "first_name": "ROBERT",
        "middle_name": "M.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Frederking
• Jennifer Koren Frediani, R.D., L.D., ACSM-CES
• Anna Coursey Fredlund
• Breanna Kathleen Fredrick, AA
• Kaitlyn Victoria Fredrick, APN, PMHNP-BC
• Courtney Nicole Fredrickson, DC
• Regina Mensah Fredua-Agyeman, FNP
• Whitney Alison Free, BCBA
• Gary E. Freed, D.O.
• Maurie Christina Freed, LMFT

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.