Mick Fredrickson (NPI# 1104180520, PAC ID# 7113210758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1104180520 |
| PAC ID by PECOS | 7113210758 |
| Professional Enrollment ID | I20160720000891 |
| Full Name | Mick Fredrickson |
| Organization Legal Name | RECLAIM LIFE LLC |
| Address |
425 2nd Ave Sw Suite 101b Albany OR 97321-2483 |
| Phone Number | 5412863209 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7416293493 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 425 2nd Ave Sw, Suite 101b, Albany, OR 97321-2483 | 5412863209 | RECLAIM LIFE LLC |
| Organization Legal Name | RECLAIM LIFE LLC |
| Physicians | 1 |
| Street Address |
425 2ND AVE SW SUITE 101B |
| City | ALBANY |
| State | OR |
| Zip | 97321-2483 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Hansen | Clinical Social Worker | 425 2nd Ave Sw, Suite 203, Albany, OR 97321-2471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gale A Smolen | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Ronald Richard Ryden | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jon D Sobotka | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James B Newman | Nurse Practitioner | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Robert F Vandiver | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Sean Phillip Becker | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Leonard K Jones | Clinical Social Worker | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Jay L Wung | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Michelle L Hastings | Psychiatry | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| James E Clay | Clinical Psychologist | County of Linn | 445 3rd Ave Sw, Linn County Mental Health Services, Albany, OR 97321-0031 |
| Find all physicians in zip 97321 | |||
| City | ALBANY |
| Zip Code | 97321 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ALBANY + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Mick Fredrickson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.