ANDREW JAY FREDERICK (NPI# 1447286208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286208 |
| Entity Type | Individual |
| Full Name | ANDREW JAY FREDERICK |
| Credential | LICSW |
| Practice Address |
445 Cypress St Ste 7 Manchester NH 03103 |
| Mailing Address |
445 Cypress St Ste 7 Manchester NH 03103-3600 |
| Practice Telephone | 6036638650 |
| Mailing Telephone | 6036638650 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
838 | NH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 93rd St, Monadnock Family Services, Keene, NH 034313748 | 6033575270 | 6033576875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316311780 | Andrew Frederick | Pharmacist | 890 N Resler Dr, El Paso, TX 79912-7029 | 2015-11-22 |
| 1376976951 | Andrew Scott Frederick | Counselor | 9017 S I 35 Service Rd, Moore, OK 73160-9051 | 2013-08-19 |
| Street Address |
445 CYPRESS ST STE 7 |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982172458 | Kerri Coleman | Counselor | 445 Cypress St Ste 7, Manchester, NH 03103 | 2018-11-02 |
| 1558538470 | Elliot Professional Services | Internal Medicine | 445 Cypress St Ste 7, Elliot Endocrinology Associates, Manchester, NH 03103-3600 | 2008-05-09 |
| 1619154564 | Heather Crowell | Counselor | 445 Cypress St Ste 7, Manchester, NH 03103 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1184145898 | Susan E Herman | Physical Therapist | 3000 Goffs Falls Road Suite 101, Manchester, NH 03103 | 2017-07-03 |
| 1316476757 | Sara Rose Hanrahan | Occupational Therapist | 3000 Goffs Falls Road, Suite 101, Manchester, NH 03103 | 2017-06-08 |
| 1457802811 | Holly Ann Cekala | Counselor | 140 Central St, Manchester, NH 03103 | 2016-10-20 |
| 1114301249 | Families In Transition | Counselor | 282 Belmont St, Manchester, NH 03103 | 2015-07-18 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| Find all providers in zip 03103 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799099 | T.r.u.e. Self Counseling | Social Worker | 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 | 2020-08-03 |
| 1992328710 | Cheryl Kinney | Social Worker | 623 Meramec Station Rd, Manchester, MO 63021-5550 | 2020-05-27 |
| 1649818857 | Amanda Duenas | Social Worker | 26 Hamlin St, Manchester, CT 06040-5319 | 2019-12-18 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1700344165 | Morgan Moller | Social Worker | 200 W Center St Ste C-2-6, Manchester, CT 06040-4864 | 2019-03-05 |
| 1336615103 | Sarah Canning Howroyd | Social Worker | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-10-19 |
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1497239016 | Erin Macdonald Lajeunesse | Social Worker | 182 Kearsarge St, Manchester, NH 03102-3402 | 2018-09-19 |
| 1316420987 | Filomena Dasilva-clark | Social Worker | 284 N Bay St, Manchester, NH 03104-2324 | 2018-09-10 |
| 1386127009 | Susannah Blass Dipasquale | Social Worker | 2 Pinewood Rd, Manchester, MA 01944-1036 | 2018-09-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.