Fredrickson, Danielle

Fredrickson, Danielle is an individual health care provider with primary practice located at 123 How Lane , New Brunswick NJ 08901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fredrickson, Danielle can be contacted via phone (732) 993-9762.

Contact Information

Primary practice address
123 How Lane New Brunswick NJ 08901
Phone: (732) 993-9762
Fax: (732) 626-4544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00224200 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 067712-1 New York

Profile Details

NPI number 1346322419
LBN Legal business name Fredrickson, Danielle
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Apr 21st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346322419 NPPES
New Jersey MEDICAID 0404471

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