Sarah J Fredrich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3139-127 Issued in WI

Practice address

312 E Main St Ste 210
Watertown, WI 53094-3755

Phone

(920) 215-2008

NPI assigned

Feb 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sarah J Kiser Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1841821477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 N 5TH ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943806",
            "telephone_number": "920-757-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST STE 210",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943755",
            "telephone_number": "920-215-2008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530943806",
            "country_code": "US",
            "telephone_number": "920-757-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREDRICH",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-02",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3139-127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "KISER",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Forward Family Care, LLC
• Edward J Foster, MD
• Marci R Foutch, COTA
• William E Fowler, M.D.
• Sherry Lyn Fraser, RMT
• Edward Fairfax Frost, MD
• Jeffrey Fruendt, D.C.
• Jennifer Wynne Furlong, APNP
• Jennifer Garcia, OTR/L
• Mary K Gatzke, DNP

• Clinical Social Worker in Watertown, WI
• Providers in Watertown, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2020; 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.