Jade Elizabeth Frederick, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095095 Issued in MI

Practice address

22900 Federal Avenue Henry Ford Health System Clinic
Warren, MI 48089

Phone

(248) 266-0475

NPI assigned

Oct 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jfrederick748883@direct.hfhs.org

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.

• Peace and Mind Therapy Center

  • Clinical Social Worker
  • Lake Orion, MI
  • NPI 1558019315
  NPD Authorized official

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1699447102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 WOODFIELD STREET",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "48362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 FEDERAL AVENUE HENRY FORD HEALTH SYSTEM CLINIC",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48089",
            "telephone_number": "248-266-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JADE",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.henryford.com/services/pediatrics/community/school-based",
            "affiliation": "Y",
            "endpointDescription": "HFHS School-Based Clinic Website",
            "affiliationName": "Henry Ford Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22900 Federal Avenue Henry Ford Health System Clinic",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Frank a. Diponio Jr. D.O. P.C.
• Adam J Frank, MD
• Heather Lynn Franke, D.O.
• Chona Tantoco Franklin, RPH
• Anna Fraymovich, M.D.
• Freedom Care LLC
• Ashlee Freeman
• Tyler Michael Friend
• Christian Fritz, MD
• Hannah Marie Frontera

• Clinical Social Worker in Warren, MI
• Providers in Warren, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.