Active NPI
Casey Frederick
- Social Worker
- Lynn, MA
National Provider Identifier
1689410045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW227993
- Practice address
- 60 Granite St
Lynn, MA 01904-2915 - Phone
- (781) 599-9200
- NPI assigned
- Jul 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW227993 | MA | Primary |
| Clinical Social Worker | 1041C0700X | PENDING | MA |
Addresses
Primary practice location
60 Granite St
Lynn, MA 01904-2915
Mailing address
60 Granite St
Lynn, MA 01904-2915
Phone (781) 599-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW227993 | MA | MD | Social Worker |
| PENDING | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1689410045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 GRANITE ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019042915",
"telephone_number": "781-599-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 GRANITE ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019042915",
"telephone_number": "781-599-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-05",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "LCSW227993",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "PENDING",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.