Sierra Frederick, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

092535 Issued in NY

Practice address

3C Kings Isle LN
Mechanicville, NY 12118-3144

Phone

(518) 952-9032

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1366924870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3C KINGS ISLE LN",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183144",
            "telephone_number": "518-932-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3C KINGS ISLE LN",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183144",
            "telephone_number": "518-952-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "SIERRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "104280-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Summers Speech Therapy Inc
• Family Dental Associates LLP
• Family Medicine of Mechanicville PLLC
• McKenzie Leigh Flemming, PA-C
• Mary E Ford, RN
• Melissa Fronhofer, MSPT
• Vincent Pat Fuschino, DDS
• Kathleen Stacey Goverski, M. S. CCC-SLP
• Mikayla Grace Gowett, PA-C
• Kristine Doyle Griffin, M.S., CCC-SLP

• Clinical Social Worker in Mechanicville, NY
• Providers in Mechanicville, 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 Dec 29, 2021; 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.