MR. FREDERICK L FEARDAY (NPI# 1467506097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467506097 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK L FEARDAY |
| Practice Address |
647 34th Ave S St Petersburg FL 33705-3730 |
| Mailing Address |
445 31st St N St Petersburg FL 33713-7605 |
| Practice Telephone | 7278214819 |
| Practice Fax Number | 7278226240 |
| Mailing Telephone | 7278214819 |
| Mailing Fax Number | 7278226240 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW3162 | FL | Behavioral Health & Social Service Providers |
| Street Address |
647 34TH AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194838839 | Boley Centers, Inc. | Clinic/Center | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2006-08-16 |
| 1790110724 | Tara Elesia Stewart | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2013-09-10 |
| 1881029023 | Chyrl Miller | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2013-09-06 |
| 1558796797 | John Allan Pate | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2013-09-06 |
| 1447685672 | Kelvin Stewart | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2013-09-06 |
| 1548695992 | Wanderly Casali Kennedy | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2013-09-04 |
| 1609200393 | Dianne Allen | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2013-08-29 |
| 1629122320 | Carol F Miele | Counselor | 647 34th Ave S, St Petersburg, FL 33705-3730 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| 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 |
|---|---|---|---|---|
| 1073124582 | Nicholas Alexander Diaz | Social Worker | 1701 Central Ave Unit 251, St Petersburg, FL 33713-8971 | 2020-08-10 |
| 1255953444 | Olivia Bailey | Social Worker | 190 112th Ave N Apt 1129, St Petersburg, FL 33716-3269 | 2020-05-11 |
| 1417578295 | Grace Willms | Social Worker | 3530 1st Ave N Ste 111, St Petersburg, FL 33713-8422 | 2020-05-03 |
| 1730717638 | River Birch Wellness LLC | Social Worker | 4763 1st Ave S, St Petersburg, FL 33711-1005 | 2020-03-28 |
| 1740823400 | Resolution Today | Social Worker | 1700 Park St N Ste 109, St Petersburg, FL 33710-4300 | 2019-10-24 |
| 1992362735 | Rahim Samji | Social Worker | 3010 Fairfield Ave S, St Petersburg, FL 33712-1543 | 2019-05-28 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1982109484 | Stefanie Von Ohlen LLC | Social Worker | 900 Central Ave # 302, St Petersburg, FL 33705-1647 | 2018-03-27 |
| 1306340112 | Premier Counseling and Wellness LLC | Social Worker | 3831 Tyrone Blvd N Ste 201c, St Petersburg, FL 33709-4114 | 2018-03-19 |
| 1184148439 | Christine Marie Pena | Social Worker | 209 9th Ave N, St Petersburg, FL 33701-1705 | 2017-07-28 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
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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.