MARK THOMAS FREDSON (NPI# 1972110443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972110443 |
| Entity Type | Individual |
| Full Name | MARK THOMAS FREDSON |
| Practice Address |
118 E 8th St Port Angeles WA 98362-6129 |
| Practice Telephone | 3604570431 |
| Practice Fax Number | 3604570493 |
| Mailing Telephone | 3604570431 |
| Mailing Fax Number | 3604570493 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
118 E 8TH ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-6129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942270459 | Jennifer Ruth Trefonas | Counselor | 118 E 8th St, Port Angeles, WA 98362-6129 | 2006-01-25 |
| 1790386712 | Anna Alicia Davis | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-11-05 |
| 1669071916 | Emmett Joseph Browning | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-19 |
| 1508463050 | Geraldine Miles Stockmann | Case Manager/Care Coordinator | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-07 |
| 1194331595 | Sylvia Rose Church | Case Manager/Care Coordinator | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-21 |
| 1881200749 | Annie Rae Guthrie | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-16 |
| 1356956379 | Jessica Rochel Garcia | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-15 |
| 1245845668 | Nevaeh Jade Selvidge | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-11 |
| 1114532959 | Hilary Jade Clark | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-09 |
| 1003420878 | Sharra Michelle Reynolds | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386712 | Anna Alicia Davis | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-11-05 |
| 1669071916 | Emmett Joseph Browning | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-10-19 |
| 1881200749 | Annie Rae Guthrie | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-16 |
| 1356956379 | Jessica Rochel Garcia | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-15 |
| 1245845668 | Nevaeh Jade Selvidge | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-11 |
| 1114532959 | Hilary Jade Clark | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-09-09 |
| 1003420878 | Sharra Michelle Reynolds | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-08-31 |
| 1376155721 | Tierra Renee Thompson | Social Worker | 939 Caroline St, Port Angeles, WA 98362-3909 | 2020-08-18 |
| 1831713544 | Joshua Lee Kenyon | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-05-29 |
| 1871117515 | Charles Edward Whitmire | Social Worker | 118 E 8th St, Port Angeles, WA 98362-6129 | 2020-05-28 |
| Find all providers in PORT ANGELES | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.