Kate Jeanine Fredenberg, LICSW, CDP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60489091 Issued in WA

Practice address

4060 E Stevens Way NE
Seattle, WA 98195-0001

Phone

(206) 543-5030

Fax

(206) 543-4716

NPI assigned

Jan 12, 2012

Last updated

Nov 1, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Uw Counseling Center

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1801467659
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1497025084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON",
            "address_2": "BOX 354410",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981954410",
            "telephone_number": "206-543-5030",
            "fax_number": "206-543-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 E STEVENS WAY NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-543-5030",
            "fax_number": "206-543-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDENBERG",
        "first_name": "KATE",
        "middle_name": "JEANINE",
        "credential": "LICSW, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60489091",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 60312408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Meyer Stores Inc. (QFC North Seattle)
• Fred Meyer Stores Inc. (QFC West Seattle #883)
• Fred S Hsu DMD PLLC
• Grace Fredeen, CO
• Jamie Fredeen, LMFTA, MHP
• Frederick B Davis MD PS
• Christina Frederick, MD, MPH
• Fallon L Frederick, PTA
• James Todd Frederick, D.C.
• John Thomas Frederick, MD

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.