Jo Frederic LCSW Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JO FREDERIC LCSW INC

Practice address

132 Silver Fox CT
Greenwood Village, CO 80121-2123

Phone

(303) 721-8999

Fax

(303) 221-5453

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Linda Jo Frederic, ACSW LCSW CSWGNPI 1427013549

Title

Owner

Phone

(303) 721-8999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Jo Frederic

  • Clinical Social Worker
  • Greenwood Village, CO
  • NPI 1427013549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1851676233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SILVER FOX CT",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212123",
            "telephone_number": "303-721-8999",
            "fax_number": "303-221-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SILVER FOX CT",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801212123",
            "telephone_number": "303-721-8999",
            "fax_number": "303-221-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JO FREDERIC LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "FREDERIC",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-721-8999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACSW LCSW CSWG"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yongmei Jiang, M.D.
• Cameron Jilovec, RN
• Lauren Jimenez, MS, CGC
• Rossynet Jimenez, D.D.S.
• Yvonne Jimenez
• Camila Araujo Joao, MA, LPC, LMHC
• Lynn Susan Joffe, M.D.
• Rex David Johns, PHD, LPC,LAC, NCC
• Aaron Lee Johnson, D.C.
• David Johnson, PT, DPT, ATC

• Clinical Social Worker in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.