MR. STEPHEN L FREDERICO (NPI# 1932121373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932121373 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN L FREDERICO |
| Credential | LCSW-R |
| Practice Address |
1212 North Country Rd Suite 4b Stony Brook NY 11790 |
| Mailing Address |
1212 North Country Road Suite 4b Stony Brook NY 11790 |
| Practice Telephone | 6312469000 |
| Practice Fax Number | 6316891359 |
| Mailing Telephone | 6312469000 |
| Mailing Fax Number | 6316891359 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PRO22599 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1212 NORTH COUNTRY RD SUITE 4B |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| 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 |
|---|---|---|---|---|
| 1043828650 | Jeanne A Finch | Social Worker | 234 Christian Ave, Stony Brook, NY 11790-1179 | 2020-07-20 |
| 1013457233 | Carissa Blasius | Social Worker | 139 Main St # C, Stony Brook, NY 11790-1944 | 2017-03-07 |
| 1063842847 | Taramary Bulin | Social Worker | 6 Harmon Ct, Stony Brook, NY 11790-2307 | 2013-11-15 |
| 1265871289 | Melanie E Conway | Social Worker | 25 Strathmore Gate Dr, Stony Brook, NY 11790-3006 | 2013-06-24 |
| 1578863205 | Antonina Leonard | Social Worker | 84 University Heights Dr, Stony Brook, NY 11790-2735 | 2010-10-28 |
| 1295048304 | Sharon Denise Wilkerson | Social Worker | Health Science Center T-10, Stonybrook University Hospital Department of Psychiatry, Stony Brook, NY 11790-8101 | 2010-07-17 |
| 1386831113 | Michele Mcmath | Social Worker | 33 Brook Dr, Stony Brook, NY 11790-1503 | 2007-09-25 |
| 1013119510 | Charles L. Robbins | Social Worker | 3 Seward Ln, Stony Brook, NY 11790-3108 | 2007-06-05 |
| 1952517443 | Deborah A Rodriguez | Social Worker | 21 Blueberry Ln, Stony Brook, NY 11790-2515 | 2007-05-14 |
| 1124153168 | Estee Sarah Cohen Laub | Social Worker | 24 Sedgewick Ln, Stony Brook, NY 11790-3106 | 2007-02-22 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on MR. STEPHEN L FREDERICO.
| 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.