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NPI Code Detail

MEDICARE: DANIELA FREDERICK LCSWA

MEDICARE: DANIELA FREDERICK LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP017499NC

General Provider Information

NPI Number : 1356003693
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA FREDERICK LCSWA
Provider Business Mailing Address
First Line : 200 E SECOND AVE
Second Line :
City : GASTONIA
State : NC
Zip : 28052-4358
Country : US
Telephone Number : 704-874-1907
Fax Number :
Provider Business Practice Location Address
First Line : 3050 RIVERWOOD PKWY STE B
Second Line :
City : GASTONIA
State : NC
Zip : 28056-6002
Country : US
Telephone Number : 704-874-9005
Fax Number : 704-874-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2021
Last Update Date : 05/11/2026

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Directions to “ DANIELA FREDERICK LCSWA” Practice Location

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