Jill Frederick, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6851102380 Issued in MI

Practice address

622 Toledo Ave
Monroe, MI 48161-1624

Phone

(734) 777-3177

NPI assigned

May 21, 2018

Last updated

Aug 15, 2023By 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)

Not 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.

• Catholic Charities of Southeast Michigan

  • Clinical Social Worker
  • Madison Heights, MI
  • NPI 1316283757
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1720579253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 TOLEDO AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611624",
            "telephone_number": "734-777-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 TOLEDO AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611624",
            "telephone_number": "734-777-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "JILL",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851102380",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801102380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Fox-Landess
• Lisa Lynn Franklin, RN
• Ruby Pearl Franklin
• Savannah Forever Fraunfelter, LMSW
• Marla Frazer, RPH
• Mary Elizabeth Freese, LMSW
• Frenchtown Acquisition Company Inc (Fountain View of Monroe)
• Frenchtown Orthopedic Group PC
• Frenchtown Senior Citizens Inc
• Frenchtown Smiles PLLC

• Social Worker in Monroe, MI
• Providers in Monroe, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.